MersV1, Main, Exploration, bibRecord, 002613

Root cause analysis of transfusion error: identifying causes to implement changes.

Identifieur interne : 002613 ( Main/Exploration ); précédent : 002612; suivant : 002614

Root cause analysis of transfusion error: identifying causes to implement changes.

Auteurs : Priti Elhence [Inde] ; S. Veena ; Raj Kumar Sharma ; R K Chaudhary

Source :

Transfusion [ 1537-2995 ] ; 2010.

RBID : pubmed:21128948

Descripteurs français

KwdFr :
- Erreurs médicales (), Gestion du risque (), Gestion du risque (normes), Humains, Réaction transfusionnelle, Sécurité (normes), Transfusion sanguine (), Transfusion sanguine (normes).
MESH :
- normes : Gestion du risque, Sécurité, Transfusion sanguine.
- Erreurs médicales, Gestion du risque, Humains, Réaction transfusionnelle, Transfusion sanguine.

English descriptors

KwdEn :
- Blood Transfusion (standards), Blood Transfusion (statistics & numerical data), Humans, Medical Errors (prevention & control), Risk Management (methods), Risk Management (standards), Safety (standards), Transfusion Reaction.
MESH :
- methods : Risk Management.
- prevention & control : Medical Errors.
- standards : Blood Transfusion, Risk Management, Safety.
- statistics & numerical data : Blood Transfusion.
- Humans, Transfusion Reaction.

Abstract

As part of ongoing efforts to improve transfusion safety, an error reporting system was implemented in our hospital-based transfusion medicine unit at a tertiary care medical institute. This system is based on Medical Event Reporting System-Transfusion Medicine (MERS-TM) and collects data on all near miss, no harm, and misadventures related to the transfusion process. Root cause analyses of one such innocuous appearing error demonstrate how weaknesses in the system can be identified to make necessary changes to achieve transfusion safety.

DOI: 10.1111/j.1537-2995.2010.02943.x
PubMed: 21128948

Affiliations:

Inde

Le document en format XML

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<author><name sortKey="Elhence, Priti" sort="Elhence, Priti" uniqKey="Elhence P" first="Priti" last="Elhence">Priti Elhence</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Transfusion Medicine, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India. pelhence@sgpgi.ac.in</nlm:affiliation>
<country xml:lang="fr">Inde</country>
<wicri:regionArea>Department of Transfusion Medicine, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow</wicri:regionArea>
<wicri:noRegion>Lucknow</wicri:noRegion>
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<author><name sortKey="Veena, S" sort="Veena, S" uniqKey="Veena S" first="S" last="Veena">S. Veena</name>
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<author><name sortKey="Sharma, Raj Kumar" sort="Sharma, Raj Kumar" uniqKey="Sharma R" first="Raj Kumar" last="Sharma">Raj Kumar Sharma</name>
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<author><name sortKey="Chaudhary, R K" sort="Chaudhary, R K" uniqKey="Chaudhary R" first="R K" last="Chaudhary">R K Chaudhary</name>
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<series><title level="j">Transfusion</title>
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<term>Risk Management (methods)</term>
<term>Risk Management (standards)</term>
<term>Safety (standards)</term>
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<term>Réaction transfusionnelle</term>
<term>Sécurité (normes)</term>
<term>Transfusion sanguine ()</term>
<term>Transfusion sanguine (normes)</term>
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<term>Sécurité</term>
<term>Transfusion sanguine</term>
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<term>Safety</term>
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<front><div type="abstract" xml:lang="en">As part of ongoing efforts to improve transfusion safety, an error reporting system was implemented in our hospital-based transfusion medicine unit at a tertiary care medical institute. This system is based on Medical Event Reporting System-Transfusion Medicine (MERS-TM) and collects data on all near miss, no harm, and misadventures related to the transfusion process. Root cause analyses of one such innocuous appearing error demonstrate how weaknesses in the system can be identified to make necessary changes to achieve transfusion safety.</div>
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<name sortKey="Sharma, Raj Kumar" sort="Sharma, Raj Kumar" uniqKey="Sharma R" first="Raj Kumar" last="Sharma">Raj Kumar Sharma</name>
<name sortKey="Veena, S" sort="Veena, S" uniqKey="Veena S" first="S" last="Veena">S. Veena</name>
</noCountry>
<country name="Inde"><noRegion><name sortKey="Elhence, Priti" sort="Elhence, Priti" uniqKey="Elhence P" first="Priti" last="Elhence">Priti Elhence</name>
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Serveur d'exploration MERS

Root cause analysis of transfusion error: identifying causes to implement changes.

Root cause analysis of transfusion error: identifying causes to implement changes.

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

Pour générer des pages wiki

	Serveur d'exploration MERS
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