- Blood transfusion errors are critical medical errors
- Many fail to stick to international guidelines for blood transfusion
- Study adopts Failure Mode and Effect Analysis method
- It recommends some preventive measures to be adopted in each hospital
Among the medical errors that came across in the field of science and medicine, blood transfusion errors have been classified as critical. It can lead to fatalities due to which international guidelines to avoid such errors have been adopted.
Blood transfusion is the process of accepting blood or any factors of blood from an individual as a part of the treatment. People with bleeding disorders or other diseases need blood transfusion and organizations that gather people for blood donation are helping the cause.
But, as everything has a negative effect, a blood transfusion may fail due to human errors. A new research published in the latest issue of Health Services Research Journal of Bio Med Central shows that misidentification of the patient was the most common error that happened in blood transfusions.
The study conducted in a tertiary care general hospital in Iran adopted Failure Mode and Effect Analysis (FMEA) method to understand the errors. The research conducted 16 sessions of two hours to track down the possible errors and preventive measures that could be adopted.
As per the research, misidentification, giving blood to the wrong patient and taking blood from the wrong person, were the most common errors. In addition, errors in analyzing blood samples, mistakes while recording the analysis, and the mismatch between filled form of patients and recorded data by hospital staff can also lead to transfusion errors.
The research recommends corrective measures like
- Introducing cut and right procedures to present blood samples
- Proper training for hospital staff to deal with blood transfusion
- Develop a protocol to monitor the patient’s signs in the first 15 minutes of transfusion
Even though international guidelines to record blood samples have been laid out, many of them are either ignorant or did not follow such measures that prevent the human errors.
A 2016 study in India revealed that on an average 182 events of error in blood transfusion had occurred in a sample of 32, 672. In the same study, it has been substantiated that errors in clinical services were constituted to 90.0 percent. Sample collection errors were 39 percent.
The study gives insights into the possible FMEA method to be adopted to analyze and come up with preventive measures on a large basis so that the man-made errors in blood transfusion can be decreased.