10 Questions
What is the main focus of the continuous quality improvement effort described in the text?
Introducing electronic patient identification at the point of pretransfusion specimen collection
What was the outcome of the combined automated system processes and human protocols in the study?
A 10-fold reduction in WBIT events and a 47% reduction in mislabeled specimens
What is identified as a potential consequence of wrong blood in tube (WBIT) events according to the text?
Mistransfusions of components with life-threatening complications
What is described as a key characteristic of the transfusion process according to the text?
A complicated procedure involving many disciplines performing various steps
What has remained largely unchanged despite multiple interventions such as education, training, and guidelines?
The occurrence of WBIT events
What is the main cause of Wrong Blood in Tube (WBIT) as described in the text?
Mislabeling the blood sample with intended patient details
How did the WBIT rate change over the years as a result of system process changes?
Decreased to 0.001% in the following year and remained low for 2 additional years
What impact did electronic positive patient ID combined with streamlined time-out verification form have on the WBIT rate?
Decreased it to 0.0175%
Which factor contributed to a reduction in rejection of specimen rate from 2.5% to 1.2% in one study from 2017?
Introduction of end-to-end electronic systems
What was the WBIT rate for blood bank specimens drawn in the emergency department after the implementation of electronic positive patient ID combined with streamlined time-out verification form?
0.001%
Explore the complexities of blood transfusions, including specimen identification errors and the impact of wrong blood in tube (WBIT) events. Learn about continuous quality improvement efforts and system changes to minimize errors and ensure patient safety.
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