Reflection on 10 years of NHO Reporting - Irish Blood Transfusion ...

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Reflection on 10 years of NHO Reporting - Irish Blood Transfusion ...

Reflection on 10 years of NHO Reporting - Irish Blood Transfusion ...

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Breakdown <strong>of</strong> Sample errors 2008-20<strong>10</strong> SJH5432Incorrect identifiersWr<strong>on</strong>g blood in tube<strong>10</strong>2008 2009 20<strong>10</strong>

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Board Minutes 21st June 2012. - Irish Blood Transfusion Service

Board Minutes 20th June 2011 - Irish Blood Transfusion Service

Information for GPs - Irish Blood Transfusion Service

Primary Specimen & User Manual - Irish Blood Transfusion Service

BLOOD DONATION INFORMATION - Irish Blood Transfusion Service

Towards Optimal Use of Platelets - Irish Blood Transfusion Service

IBTS DIAG GDE 0001 - Irish Blood Transfusion Service

Findings from NHO Annual Report 2011 Serious Adverse Reactions

TRACEABILITY USER MANUAL - Irish Blood Transfusion Service

NHO Report 2008 2009 - Irish Blood Transfusion Service

Consent to transfusion - Irish Blood Transfusion Service

learnPro NHS User Manual - Better Blood Transfusion

IBTS External Application Form 2013 PDF Format

Board Minutes 17th December 2012. - Irish Blood Transfusion Service

Wr<strong>on</strong>g <strong>Blood</strong> in Tube SJH 2005 - 20<strong>10</strong>98765432<strong>10</strong>2005 2006 2007 2008 2009 20<strong>10</strong>Number <strong>of</strong> wr<strong>on</strong>gblood in tubesamples

Breakdown <strong>of</strong> Sample errors 2008-20<strong>10</strong> SJH5432Incorrect identifiersWr<strong>on</strong>g blood in tube<strong>10</strong>2008 2009 20<strong>10</strong>

Page 1 and 2: ‘To err is human,but to report is
Page 3 and 4: 350300Breakdown of NHO incidents ac
Page 5 and 6: Changing profile of SAE/IBCT report
Page 7 and 8: The user friendly Root Cause method
Page 9 and 10: The blood transfusion laboratory an
Page 11: • There were 59 events with high
Page 15 and 16: Examples of some of the newinitiati
Page 17 and 18: Preassessment Clinics• Identify c
Page 19 and 20: Improvements due tohaemovigilance
Page 21 and 22: NHO should focus on patient safety