Evaluation of the non-compliance with grouping guidelines which may lead to “wrong blood in tube”, an observational study and risk factor analysis

Daurat, Aurélien; Boudet, E.; Daurat, G.; Roger, Claire; Gris, Jean‐Christophe; Tunez, Virginie; Gasté, Marine; Lefrant, Jean‐Yves

doi:10.1016/j.tracli.2017.01.003

Cited by 5 publications

(4 citation statements)

References 9 publications

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“…The investigation found that work overload was an independent risk factor. 25 Another qualitative review of the linkage between workplace stressors and the quality of care reported that both have negative associative factors. For example, work overloads lead to prolonged waiting times for examinations and admissions, shorter times for conversations, and fewer opportunities to explain symptoms.…”

Section: Technology Can Assist Efforts To Improve Care Qualitymentioning

confidence: 99%

Comparative Effectiveness of Video and Face-to- Face Sessions to Educate Hospitalized Patients on Cancer Pain Management

et al. 2023

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Objective: Patients’ lack of knowledge of cancer pain management affects pain outcomes. This study compared the effectiveness of cancer pain management achieved in a previous retrospective study (“P-group”), in which hospitalized cancer pain individuals received no pain education, with the pain management achieved by 2 study groups. One group received pain management information via video sessions (“V-group”) and the other via face-to-face coaching (“F-group”). The study’s secondary aims were to compare the 2 interventions’ psychological, quality-of-life, and opioid-consumption impacts. Materials and Methods: This single-blinded, randomized, controlled trial enrolled hospitalized cancer pain patients aged between 18 and 70 with an Eastern Clinical Oncology Group performance status < 4. They were assigned to V- and F-groups to receive information on managing cancer pain. “Successful pain control” was defined as “no to mild pain” or a numerical rating scale score < 4 on Day 6. Pain intensity and opioid consumption (morphine-equivalent daily dosage) were recorded daily from baseline to Day 6. Psychological status (Hospital Anxiety and Depression Scale) and quality of life (Functional Assessment of Cancer Therapy–General) were assessed at baseline and Day 6. Results: Fifty-nine participants were analyzed (V-group: 31; F-group: 28). Both groups had significantly higher successful pain outcomes than the P-group (P < .001). The V- and F-groups had no significant differences in successful pain control (20 [65%] vs 19 [68%]; P = .787), psychological effects, quality of life, or opioid consumption. Conclusions: Video sessions are an alternative means of educating hospitalized cancer pain patients and reducing healthcare providers’ workloads.

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Section: Technology Can Assist Efforts To Improve Care Qualitymentioning

confidence: 99%

Comparative Effectiveness of Video and Face-to- Face Sessions to Educate Hospitalized Patients on Cancer Pain Management

et al. 2023

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“…In one description of two‐specimen implementation, several errors were caught by the second specimen, and although the WBIT rate from nursing collections was still one in 630 (compared to less than one in 5555 from phlebotomy staff), the odds of two successive WBIT specimens from the same patient with independent sampling would have been approximately one in 400 000 20 . Second‐specimen requirements can be circumvented when caregivers shortcut the process and draw both specimens at the same time 41 . To counteract that, some labs require a special color‐coded specimen tube for the second sample that is only obtainable from the lab 42 …”

Section: Figurementioning

confidence: 99%

“…20 Second-specimen requirements can be circumvented when caregivers shortcut the process and draw both specimens at the same time. 41 To counteract that, some labs require a special color-coded specimen tube for the second sample that is only obtainable from the lab. 42 In recent years ePPID has been demonstrated to significantly reduce errors in both phlebotomy and blood administration.…”

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confidence: 99%

Landsteinerʼs legacy: The continuing challenge to make transfusions safe

Ramsey

2020

Transfusion

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“… Note : Examples of preanalytical errors and various published risk factors associated with them 3,6,12,13,18,23–27 are shown. …”

Section: Introductionmentioning

confidence: 99%

How do we ensure a safe ABO recheck process?

Stephens,

Allen,

Bloch

et al. 2023

Transfusion

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BackgroundCollecting a patient's blood in a correctly labeled pretransfusion specimen tube is essential for accurate ABO typing and safe transfusion. Noncompliance with specimen collection procedures can lead to wrong blood in tube (WBIT) incidents with potentially fatal consequences. Recent WBIT events inspired the investigation of how various institutions currently reduce the risk of these errors and ensure accurate ABO typing of patient samples.Materials and MethodsThis article describes the techniques employed at various institutions across the United States to mitigate the risk of misidentified pretransfusion patient specimens. Details and considerations for each of these measures are provided.ResultsSeveral institutions require the order for an ABO confirmation specimen, if indicated, to be generated from the transfusion medicine (TM) laboratory. Others issue a dedicated collection tube that is available exclusively from the TM service. Many institutions employ barcoding for electronic positive patient identification. Some use a combination of these strategies, depending on the locations or service lines from which the specimens are collected.ConclusionThe description of various WBIT mitigation strategies will inform TM services on practices that may be effective at their respective institutions. Irrespective of the method(s) utilized, institutions should continue to monitor and mitigate specimen misidentification errors to promote sustained safe transfusion practices.

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Evaluation of the non-compliance with grouping guidelines which may lead to “wrong blood in tube”, an observational study and risk factor analysis

Cited by 5 publications

References 9 publications

Comparative Effectiveness of Video and Face-to- Face Sessions to Educate Hospitalized Patients on Cancer Pain Management

Comparative Effectiveness of Video and Face-to- Face Sessions to Educate Hospitalized Patients on Cancer Pain Management

Landsteinerʼs legacy: The continuing challenge to make transfusions safe

How do we ensure a safe ABO recheck process?

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