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reliability doing right thing patient chris hancock manager rrails 1000 lives patient safety programme insert name presentation master slide when give using email 1 1 1 1 in in a million failure a 1000 failure a 100 failure 10 about 1 7 overall reported reliability clinical systems studied 81 87 still email knew one email seven reach intended recipient everyday life mean car starting 1 week luggage lost four overseas trips take burnett et al 2012 errors omission adverse events defect rate techni

what s alternative uk cell salvage action group hannah grainger cell salvage co ordinator welsh blood service where we image courtesy tracey hall transfusion specialist royal liverpool children s nhs trust practice availability varies regions trusts sometimes trusts cell salvage tends succeed a champion fails a lack infrastructure support easier introduce larger hospitals clinical caseload supports everyday pitfalls overall failure sell benefits people influence change understanding about blood

bbts annual conference 2013 malcolm chambers transfusion practitioner uhl uk clinical trainer nuh uk prescribing re infusion incident reporting scenarios cs case 1 2 3 4 5 yes no unsure record made patients notes patient given c s information pre surgery cell salvage blood treated same bank blood processed blood needs prescribed routinely happen patient consent which groups staff transfuse c s blood 1 2 3 4 member theatre staff medical staff cell salvage trained staff staff competent transfusion

clinical applications molecular rh typing geoff daniels international blood group reference laboratory blood transplant clinical applications molecular rh typing fetal rh typing d variants patients d negative donors d negative pregnant woman anti d valuable d type fetus fetus d positive risk pregnancy managed appropriately fetus d negative risk need intervention ibgrl bristol 2002 fetal d typing cff dna blood transplant 1994 fetal blood group genotyping service provided d women anti d 4 iu ml hi

recent developments identification blood group genes jill r storry phd fibms department laboratory medicine section haematology transfusion medicine lund university sweden clinical immunology transfusion medicine laboratory medicine lund what s happened past two years isbt blood group systems 31 fors 32 jr 33 lan consideration 34 vel 35 hrf fors 3 identification blood group systems potential relationship disease storry 15 oct 2013 blood groups disease business what s happened past two years in l