Common Causes of Blood Transfusion Events in a University Hospital: Analysis of Incident Reports.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 131
- 试验地点
- 1
- 主要终点
- Severity of inhospital blood transfusion events
研究概览
简要总结
Inhospital the blood transfusion process consists of many phases: ordering the blood product, analysis of the blood sample, delivery, transport and storage of the blood product and administration. In each of these phases (near) accidents may occur. A severe transfusion incident refers to the transfusion of a wrong blood product, whereas a near miss is detected before transfusion.
In 2010 the University Hospitals Leuven introduced a new electronic patient incident report system for transfusion events.
In this study the investigators will analyze the reported blood transfusion events to detect the most common causes of blood transfusion events and the weakest link in the blood transfusion chain.
详细描述
A retrospective survey will be conducted of all transfusion events reported in the University Hospitals Leuven between January 2011 and July 2012. Both severe accidents and near misses will be included.
Data will be drawn from the incident report system. Data concerning the number of transfused blood products will be required from the Medical Administration Service.
Events will be classified according to the severity and the cause of the event. The different settings where the events took place will be compared using a chi-square test (p<0,05).
研究设计
- 研究类型
- Observational
- 时间视角
- Retrospective
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •all transfusion events reported in the University Hospitals Leuven between January 2011 and July 2012
- •Both severe accidents and near misses were included
排除标准
- •Transfusion reactions
结局指标
主要结局
Severity of inhospital blood transfusion events
时间窗: up to 1,5 years
included events will be classified into near misses or severe incidents
次要结局
- Causes of inhospital blood transfusion events(up to 1,5 years)