The Biomedical Excellence For Safer Transfusion

This unit is aimed at health and social care professionals involved in the use of

But nobody ever set any parameters on what to do if the hemoglobin ranged between 7 and 10. This left the physician to decide when to start a blood transfusion. The Johns Hopkins study revealed that because of this most physicians always erred in the side of “safety” by ordering a transfusion any time the hemoglobin was at or below 10.

I have chosen the Hospital National Patient Safety Goals. One goal is improve the accuracy of patient identification. The Joint Commission wants hospitals to use at least two patient identifiers when providing care, treatment, and services. I believe that the person, who is checking in the patient, needs to be made aware of the importance of this process. One way would be to request two pieces of personal identification. Fraud is happening everywhere and requesting two pieces of identification might make this less likely to happen. Every person that comes in contact with the patient needs to check their identification bracelet with the medical record, orders and prescriptions. The HIM professional manages the master patient index and must

After reviewing the 2014 Patient Safety Goals, the one that drawn my attention the most, is the Patient Identification goal. The article that I chose is Patient Safety Solutions. This article was written back in May 2007. This article is about the failure to identified patients correctly and the consequences that occur as a results. Some of the bad outcomes as a result of such failures include, patients received wrong blood transfusion, laboratory received wrong blood for different patients. There were wrong patients being operated on, and patients were given wrong medications.

I will explain each right in detail to you. “The right patient”. To make sure that you are administering medication to the right patient you have to verify two different types of identification.

If I were to walk down the hallway and hear a fellow nurse making the statement that they are trying to administer medication, and the cannot complete the task because the medication administration program is telling them wrong patient my first action would be to ask that nurse if I could assist her is finding a solution. Hopefully that nurse would allow me to assist. Then I would be able to check the chart and the patient’s identification band manually. If it was not the correct due to patients having similar names such as James Stewart or Stewart James, then the problem would be easily solved by selecting the correct patient’s chart. However, if the patient’s identification bracelet is correct and matches the selected patient’s HER, then

A third risk in a hospital is medication errors. These occur when either the pharmacist can’t read a physician’s hand writing on a prescription, or the physician does not know the patients medication history and so on. The quality outcome of the patient’s wellbeing is affected in this risk.

According to the “Hospital National Patients Safety Goals”, it puts the “Identify patients correctly” in the top one place instead of preventing patient falls. In the article, it also requires healthcare staff use at least two ways to identify the patient. Because a mismatched patient can cause serious consequences in any stage of the diagnosis and treatment, such as diagnostic testing errors, transfusion errors and wrong-site procedures, etc. Especially

The patient identification errors in healthcare are a major concern. The clinical staff should get more and more training on how to cut out those errors. The new Electrical Health Record Systems have cause an uptick on these errors. The clinical staff needs to be trained more on being cautious on identifying the patients, but also on selecting the right patient when selecting one from the system that is coming in. The ECRI institute has reports from 181 healthcare organizations reported 7,613 wrong patient events from January 2013 to August 2015 (Boroyan, 2016). This has started affecting the patient and the facilities problems. First, it is starting to cause questionable clinical decision making and patient safety. Questionable clinical decision making when it comes to selecting the right patient. Whether it is giving the patient a medication that was for another patient. Second, it has

Observations should be undertaken and documented for every unit transfused. Good record keeping is an integral part of nursing practice and is essential to the provision of safe and effective care. The nurse should ensure that the patient is in a setting where they can be directly observed and where staff are trained in the administration of blood components and the management of transfused patients, including emergency treatment of anaphylaxis, she/he should advise and encourage the patient to notify her/him immediately if they begin to feel anxious, or if they feel any adverse reactions such as shivering, flushing, pain or shortness of breath, (Hebert, Wells, Blajchman, Marshall, Martin& Pagliarello, 2012

Patient safety is an essential component of hospital environments that has generated international debates and received many interpretations. It involves practices that seek to reduce risks and unnecessary health-related medication errors to an acceptable minimum (Silva & Camerini, 2012). Nurses’ role in the medication process includes administering drugs. This role exposes them to the possibility of making errors that can potentially harm the patient, or even result in death. The research articles authored by Westbrook et al. (2011) entitled “Errors in the Administration of Intravenous Medications in Hospital and the Role of Correct Procedures and Nurse Experience” and Ding et al. (2015) titled “Incidence of Intravenous Medication Errors

As good practice recommended by SaBTO (2011), Patient X and two nurses had to confirm that the blood received was tested and prepared for her. Norfolk, (2013) recommends that its good practice for two nurses to verify ABO and Rh compatibility, patient’s name, hospital ID number, and the number on the red (if patient has allergies) or white bracelet. Patient confirmed her details verbally and had to match with details on the tag of the donor blood bag, patient’s wristband and prescription chart. Details on the RBC bag include: Name of patient, Medical Record Number, Blood Group – Patient and Product, Expiry Date and Time and Product No. of Blood. The rationale of the practice is ensure to that the right blood is transfused to the right patient.

My organizations’ self-assessment was performed using the SAFER Guidelines for Patient Identification. The organization met 11 of 14 of the Patient Identification Guidelines. There were three areas that we had deficits in which included: #5 Not having “check digit” software incorporated in the medical record, #6 automatic warning for user when first and last name are the same, and #14 –Regular monitoring for patient ID errors.

I agree with your post on two patient identifiers is very important to eliminate frequent errors that occurs in health care organizations. In addition to the goals of using two patient identification method as you mentioned. The goal for using this method is to avoid common diagnostic test performed on wrong patient errors, given medication to the wrong patient, and lab test performed to the wrong patient All these errors are harmful and serious because it could lead to patient harm or

Background: Even though, transfusion practices have changed over the years since the publication of the transfusion requirement in critical care (TRICC) trial a decade ago which called for a transfusion restriction, blood loss related to frequent blood draws remains to be problematic in the critical care units. In fact, over 37 to 44% of patient’s intensive care unit (ICU) receive a blood transfusion during their hospitalization. Purpose: To determine whether the use of blood-saving apparatus will preserve hemoglobin, hematocrit and decrease transfusion requirements in critically ill adult intensive care unit (ICU) patients. Data Source: Subject related articles were extracted, reviewed, critiqued and synthesized using a comprehensive search approach, relevant articles on existing literature were extracted from the following databases: CINAHL Plus, Cochrane, MEDLINE via EBSCOhost and Google Scholar. The included articles were specific to research question, varied in their evidence levels and research designs. Results: Data saturation of the reviewed studies showed the use of blood-saving apparatus with restrictive blood transfusion significantly decreases unnecessary blood loss. In fact, the cost associated with implementing such devices are minimal when compared to the cost and risk factors associated with blood transfusion. Implications for Practice: Blood conservation devices have been effective in decreasing blood loss related diagnostic sampling, and the risk factors