| Blood transfusions in critical care: improving safety through technology & process analysis. | |
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MedLine Citation:
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PMID: 20541066 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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A multidisciplinary safety initiative transformed blood transfusion practices at St. Luke's Episcopal Hospital in Houston, Texas. An intense analysis of a mistransfusion using the principles of a Just Culture and the process of Cause Mapping identified system and human performance factors that led to the transfusion error. Multiple initiatives were implemented including technology, education and human behaviour change. The wireless technology of Pyxis Transfusion Verification by CareFusion is effective with the rapid infusion module efficient for use in critical care. Improvements in blood transfusion safety were accomplished by thoroughly evaluating the process of transfusions and by implementing wireless electronic transfusion verification technology. During the 27 months following implementation of the CareFusion Transfusion Verification there have been zero cases of transfusing mismatched blood. |
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Authors:
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Rebecca K Aulbach; Kathy Brient; Marie Clark; Kristi Custard; Carolyn Davis; Jonathan Gecomo; Judy Ong Ho |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Critical care nursing clinics of North America Volume: 22 ISSN: 1558-3481 ISO Abbreviation: Crit Care Nurs Clin North Am Publication Date: 2010 Jun |
Date Detail:
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Created Date: 2010-06-14 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8912620 Medline TA: Crit Care Nurs Clin North Am Country: United States |
Other Details:
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Languages: eng Pagination: 179-90 Citation Subset: N |
Copyright Information:
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Copyright 2010 Elsevier Inc. All rights reserved. |
Affiliation:
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Cardiovascular and Transplant Nursing, St Luke's Episcopal Hospital, 6720 Bertner Avenue, MC: 4-278, Box 76, Houston, TX 77030, USA. raulbach@sleh.com |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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