Enhancing Transfusion Safety with an Innovative Bar-Code-Based Tracking System

Askeland, Ryan W.; McGrane, S.; Reifert, D.; Kemp, John D.

doi:10.12927/hcq.2009.20973

Cited by 20 publications

(15 citation statements)

References 19 publications

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“…15 Likewise, identification of a common reason for cytopathology specimen misidentification at 1 institution resulted in a change in practice that markedly reduced these errors from 0.59% to 0%. 36 Introduction of bar code specimen identification systems has resulted in the reduction of specimen misidentification errors in several hospital settings in the context of blood transfusions 37 and pathology specimen tracking. 38,39 Of course, one needs to know that there is a problem with a process, before that problem can be solved and the process monitored for recurrences.…”

Section: Discussionmentioning

confidence: 99%

Molecular Auditing: An Evaluation of Unsuspected Tissue Specimen Misidentification

Demetrick

2018

Archives of Pathology &Amp; Laboratory Medicine

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Context.-Specimen misidentification is the most significant error in laboratory medicine, potentially accounting for hundreds of millions of dollars in extra health care expenses and significant morbidity in patient populations in the United States alone. New technology allows the unequivocal documentation of specimen misidentification or contamination; however, the value of this technology currently depends on suspicion of the specimen integrity by a pathologist or other health care worker.Objective.-To test the hypothesis that there is a detectable incidence of unsuspected tissue specimen misidentification among cases submitted for routine surgical pathology examination.Design.-To test this hypothesis, we selected specimen pairs that were obtained at different times and/or different hospitals from the same patient, and compared their genotypes using standardized microsatellite markers used commonly for forensic human DNA comparison in order to identify unsuspected mismatches between the specimen pairs as a trial of ''molecular auditing.'' We preferentially selected gastrointestinal, prostate, and skin biopsies because we estimated that these types of specimens had the greatest potential for misidentification.Results.-Of 972 specimen pairs, 1 showed an unexpected discordant genotype profile, indicating that 1 of the 2 specimens was misidentified. To date, we are unable to identify the etiology of the discordance.Conclusions.-These results demonstrate that, indeed, there is a low level of unsuspected tissue specimen misidentification, even in an environment with careful adherence to stringent quality assurance practices. This study demonstrates that molecular auditing of random, routine biopsy specimens can identify occult misidentified specimens, and may function as a useful quality indicator.

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Section: Discussionmentioning

confidence: 99%

Molecular Auditing: An Evaluation of Unsuspected Tissue Specimen Misidentification

Demetrick

2018

Archives of Pathology &Amp; Laboratory Medicine

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“…Barcodes are scanned when the blood product is going to be stored and used in the hospital. Certain barcodes are needed to be scanned according to the transaction process [34]. Knels et al [35] reported that to scan one barcode, it takes 1 to 2 seconds, which is considered inefficient.…”

Section: ) Limitation Of Barcode Technologymentioning

confidence: 99%

Addressing the Challenges and Issues of Blood Donation via Ubiquitous Computing

Sugijarto

Safie

Mukhtar

et al. 2018

JOIV : Int. J. Inform. Visualization

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Blood is undeniably essential to save lives. The high demand for blood cannot compete with the amount collected through blood donation. In order to cater to the issue, researchers tend to focus more on the donors’ side. Meanwhile, the other party which is the blood bank continues to play its role to increase the blood supply. The blood bank processes blood in four stages: donation, screening, inventory and hospital pickup. This paper aims to address the challenges and issues in the local blood bank through ubiquitous computing, specifically at the blood donation stage. Blood donation is the most critical stage where the blood bank engages directly with the donors. The issues and challenges faced by the blood bank are uncovered by, interviews, field study and literature reviews. The proposed solution takes advantage of the ubiquitous computing concept that enables devices to communicate with each other seamlessly. With the advancement of mobile technology, smartphones become the closest of any devices to achieve ubiquitous computing. Communication technologies like Near Field Communication and Wi-Fi aid the interaction between the user and the system which are expected to solve the challenges and issues of blood donation.

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“…Another centre using barcode technology noted a sample collection error avoided every 7·6 days, and estimate that a barcode system was 15–20 times safer than manual processes (Askeland et al , , ). Despite these advantages, few hospitals have implemented this method, mainly because of cost (Murphy et al , ).…”

Section: Electronic Solutionsmentioning

confidence: 99%

Wrong blood in tube – potential for serious outcomes: can it be prevented?

2014

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Summary ‘Wrong blood in tube’ (WBIT) errors, where the blood in the tube is not that of the patient identified on the label, may lead to catastrophic outcomes, such as death from ABO‐incompatible red cell transfusion. Transfusion is a multistep, multidisciplinary process in which the human error rate has remained unchanged despite multiple interventions (education, training, competency testing and guidelines). The most effective interventions are probably the introduction of end‐to‐end electronic systems and a group‐check sample for patients about to receive their first transfusion, but neither of these eradicates all errors. Further longer term studies are required with assessment before and after introduction of the intervention. Although most focus has been on WBIT in relation to blood transfusion, all pathology samples should be identified and linked to the correct patient with the same degree of care. Human factors education and training could help to increase awareness of human vulnerability to error, particularly in the medical setting where there are many risk factors.

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Enhancing Transfusion Safety with an Innovative Bar-Code-Based Tracking System

Cited by 20 publications

References 19 publications

Molecular Auditing: An Evaluation of Unsuspected Tissue Specimen Misidentification

Molecular Auditing: An Evaluation of Unsuspected Tissue Specimen Misidentification

Addressing the Challenges and Issues of Blood Donation via Ubiquitous Computing

Wrong blood in tube – potential for serious outcomes: can it be prevented?

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