Interventions to Reduce Wrong Blood in Tube Errors in Transfusion: A Systematic Review.

Abstract: This systematic review addresses the issue of wrong blood in tube (WBIT). The objective was to identify interventions that have been implemented and the effectiveness of these interventions to reduce WBIT incidence in red blood cell transfusion. Eligible articles were identified through a...

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Publicado en:Transfusion Medicine Reviews Vol. 27; no. 4; pp. 197 - 206
Autores principales: Cottrell, Susan, Watson, Douglas, Eyre, Toby A., Brunskill, Susan J., Dorée, Carolyn, Murphy, Michael F.
Formato: research systematic review Journal Article
Publicado: W B Saunders Oct2013
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2013
      vid: 27
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      pub: W B Saunders
      place: Philadelphia, Pennsylvania
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        10.1016/j.tmrv.2013.08.003
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        atl: Interventions to Reduce Wrong Blood in Tube Errors in Transfusion: A Systematic Review.
      aug:
        au:
          Cottrell, Susan
          Watson, Douglas
          Eyre, Toby A.
          Brunskill, Susan J.
          Dorée, Carolyn
          Murphy, Michael F.
        affil: NHS Dumfries & Galloway, Dumfries & Galloway Royal Infirmary, Dumfries, UK
      sug:
        subj:
          Erythrocyte Transfusion
          Human Error Prevention and Control
          Patient Identification
          Product Labeling
          Professional Practice, Evidence-Based
          Cochrane Library
          Medline
          Embase
          CINAHL Database
          Quality Improvement
          Blood Banks
          Systematic Review
          Human
          Funding Source
      ab: Abstract: This systematic review addresses the issue of wrong blood in tube (WBIT). The objective was to identify interventions that have been implemented and the effectiveness of these interventions to reduce WBIT incidence in red blood cell transfusion. Eligible articles were identified through a comprehensive search of The Cochrane Library, MEDLINE, EMBASE, Cinahl, BNID, and the Transfusion Evidence Library to April 2013. Initial search criteria were wide including primary intervention or observational studies, case reports, expert opinion, and guidelines. There was no restriction by study type, language, or status. Publications before 1995, reviews or reports of a secondary nature, studies of sampling errors outwith transfusion, and articles involving animals were excluded. The primary outcome was a reduction in errors. Study characteristics, outcomes measured, and methodological quality were extracted by 2 authors independently. The principal method of analysis was descriptive. A total of 12,703 references were initially identified. Preliminary secondary screening by 2 reviewers reduced articles for detailed screening to 128 articles. Eleven articles were eventually identified as eligible, resulting in 9 independent studies being included in the review. The overall finding was that all the identified interventions reduced WBIT incidence. Five studies measured the effect of a single intervention, for example, changes to blood sample labeling, weekly feedback, handwritten transfusion requests, and an electronic transfusion system. Four studies reported multiple interventions including education, second check of ID at sampling, and confirmatory sampling. It was not clear which intervention was the most effective. Sustainability of the effectiveness of interventions was also unclear. Targeted interventions, either single or multiple, can lead to a reduction in WBIT; but the sustainability of effectiveness is uncertain. Data on the pre- and postimplementation of interventions need to be collected in future trials to demonstrate effectiveness, and comparative studies are needed of different interventions.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        Journal Article
      ougenre: Article
    language: English
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