Blood Transfusion Events Clinical Trial
Official title:
Common Causes of Blood Transfusion Events in a University Hospital: Analysis of Incident Reports.
Inhospital the blood transfusion process consists of many phases: ordering the blood
product, analysis of the blood sample, delivery, transport and storage of the blood product
and administration. In each of these phases (near) accidents may occur. A severe transfusion
incident refers to the transfusion of a wrong blood product, whereas a near miss is detected
before transfusion.
In 2010 the University Hospitals Leuven introduced a new electronic patient incident report
system for transfusion events.
In this study the investigators will analyze the reported blood transfusion events to detect
the most common causes of blood transfusion events and the weakest link in the blood
transfusion chain.
A retrospective survey will be conducted of all transfusion events reported in the
University Hospitals Leuven between January 2011 and July 2012. Both severe accidents and
near misses will be included.
Data will be drawn from the incident report system. Data concerning the number of transfused
blood products will be required from the Medical Administration Service.
Events will be classified according to the severity and the cause of the event. The
different settings where the events took place will be compared using a chi-square test
(p<0,05).
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Time Perspective: Retrospective