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Resources for transfusion medicine & other health professionals

Surveillance 

 

Also see surveillance websites

Barach P, Small SD. Reporting and preventing medical mishaps lessons from non-medical near miss reporting systems. Br Med J 2000;320(7237):759-63.

Barach P, Small SD. How the NHS can improve safety and learning. By learning free lessons from near misses (editorial). Br Med J 2000 Jun 24;320(7251):1683-4.

Bradbury M, Cruickshank JP. Blood transfusion: crucial steps in maintaining safe practice. Br J Nurs 2000 Feb 10-23;9(3):134-8. [ Medline ]

Callum JL, Kaplan HS, Merkley LL, Pinkerton PH, Rabin Fastman B, Romans RA, et al. Reporting of near-miss events for transfusion medicine: improving transfusion safety. Transfusion 2001 Oct;41(10):1204-11.   [ Full text ] [ Medline ]

Engelfriet CP, Reesink HW, Brand B, Levy G, Williamson LM, Menitove JE, et al. Haemovigilance systems. Vox Sang 1999;77(2):110-20.

Faber JC. Haemovigilance in Europe: the European Haemovigilance Network. Transfus Clin Biol 2001 Jun;8(3):285-90.

Ibojie J, Urbaniak SJ. Comparing near misses with actual mistransfusion events: a more accurate reflection of transfusion errors. Br J Haematol 2000;108:458–60. [ Medline ]

JCAHO.  Sentinel events. 

JCAHO.  Blood Transfusion Errors: Preventing Future Occurrences. Sentinel Event Alert. Issue 10 (August 30, 1999). 

Kaplan HS, Battles JB, Van der Schaaf TW, Shea CE, Mercer SQ. Identification and classification of the causes of events in transfusion medicine. Transfusion 1998 Nov-Dec;38(11-12):1071-81. [ Medline ]

Linden JV, Schmidt GB. An overview of state efforts to improve transfusion medicine: the New York State model. Arch Pathol Lab Med 1999;123:482–5.

Marconi M, Sirchia G. Increasing transfusion safety by reducing human error. Curr Opin Hematol 2000 Nov;7(6):382-6. [ Medline ]

Medical-event reporting system for transfusion medicine (MERS-TM).

Pate B, Stajer R. The diagnosis and treatment of blame. J Healthc Qual 2001 Jan-Feb; 23(1): 4-8.

Whitsett CF, Robichaux MG. Assessment of blood administration procedures: problems identified by direct observation and administrative incident reporting. Transfusion 2001;41:581-6.  [ Full text ] [ Medline ]

Williamson L, Cohen H, Love E, Jones H, Todd A, Soldan K. The Serious Hazards of Transfusion (SHOT) initiative: the UK approach to haemovigilance. Vox Sang 2000;78 Suppl 2:291-5.

Williamson LM, Lowe S, Love EM, Cohen H, Soldan K, McClelland DB, et al. Serious hazards of transfusion (SHOT) initiative: analysis of the first two annual reports. Br Med J 1999;319:16-9.

Zimmermann R, Linhardt C, Weisbach V, Buscher M, Zingsem J, Eckstein R. An analysis of errors in blood component transfusion records with regard to quality improvement of data acquisition and to the performance of lookback and traceback procedures. Transfusion 1999 Apr;39(4):351-6.  [ Medline ]

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