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New podcast for nurses and other healthcare professionals collaborating to bringing patient centered care at its maximum.
Episodes
Tuesday Sep 18, 2018
Tuesday Sep 18, 2018
Guest Speaker LiliBeth Mullen, Clinical Laboratory Scientist (CLS) - Laboratory Director shares her views in communicating with the nurses on the floor on the importance of critical lab values, blood transfusions and drawng blood from the PICC/Midline versus peripheral line.
7 years ago
Hi all. I read a study on erroneous blood transfusion related to lab results that were reported incorrectly and also from incorrect blood draws from PICC lines. Erroneous administration was observed in one of 19,000 RBC units administered.Half of these events occurred outside the blood bank (administration to the wrong recipient, 38%; phlebotomy errors, 13%).Isolated blood bank errors,including testing of the wrong specimen, transcription errors, and issuance of the wrong unit, were responsible for 28% of events. Many events, approximate 15%, involve multiple errors; the most common was failure to detect at the bedside that an incorrect unit had been issued. Transfusion errors continue to be a significant risk. Most errors results from human action – may be preventable. The majority of events occur outside the blood bank, which suggests that hospital wide efforts at Prevention may be required.