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

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Preassessment Clinics
Preassessment Clinics• Identify correctable causes of anemia• Identification of patients with special transfusionrequirements - previous antibodies• Samples can be taken for Group and antibodyscreen and can be used for crossmatch ifnecessary if special patient ID protocol followed• Necessary response to increase in ‘day ofadmission’ surgery
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 and 12: • There were 59 events with high
Page 13 and 14: Breakdown of Sample errors 2008-201
Page 15: Examples of some of the newinitiati
Page 19 and 20: Improvements due tohaemovigilance
Page 21 and 22: NHO should focus on patient safety

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

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