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background data national audit sample labelling anne varey transfusion quality coordinator south tees hospitals nhs foundation trust member national audit sample labelling project group sample errors safety issues pathology sample labelling errors potential inappropriate treatment failure treat based results erroneous samples wrong blood tube wbit errors transfusion sample taken one patient labelled details a different patient accurate patient identification correct specimen labelling critical p

the group check jeannie callum ba md frcpc ctbs outline perception health care employees make sample collection errors brief review medical literature sample collection errors dual protection strategy detect prevent sample collection errors prevent patient harm barrier detection group check solution positive patient identification sunnybrook sample collection error statistics outline perception health care employees make sample collection errors brief review medical literature sample collection

remote authorisation results fact fiction stephan bates we used two tests kit test husband s blood type we tested mine which i already knew gave correct result remote authorisation transfusion blood groups antibody screens antibody identifications cross matches getting second opinions advice results about data management present person make a decision providing data information available remote authorisation decision making used throughout areas industry e g nuclear industry motor industry space

joint uk neqas btlp bbts annual meeting 2012 psychology distraction susy churchill my original formulation distractors environmental interpersonal intrapersonal lab visit environmental policies exist reduce view windows irrelevant phone calls porters ringing bell distracting interpersonal occasional pressure rudeness doctors intrapersonal waiting next emergency tiredness impact shift patterns shot data 2011 learning points lab general communication ward lab patient notes eg need irradiated error

development a blood transfusion knowledge based competency assessment scheme clare milkins jenny white bill chaffe nov 2012 scheme manager deputy scheme manager senior eqa scientist west hertfordshire hospitals nhs trust why perceived need mis use eqa exercise material additional eqa material requested repeat testing labs buy extra set material we phone labs errors several bms staff eqa we same answer nov 2012 west hertfordshire hospitals nhs trust iqc weak controls competency assessment eqa tod