An Audit on Near-Miss Events in Transfusion Medicine : The Experience of the Teaching Hospital in Northeastern Malaysia

الملخص EN

The rate of near misses in transfusion is important as it indicates situations with the potential of adverse outcome.

The aim of this study was to assess the frequency of mislabeled and miscollected samples received by our transfusion medicine unit.

This study was conducted from January to December 2009 in Transfusion Medicine Unit, Hospital Universiti Sains Malaysia.

The total number of near-miss events reported and analysed over the 1-year period was 178 (0.40%).

All mislabeled and miscollected samples and its location cases were identified.

Mislabeled and miscollected (WBIT) samples were 66.3% and 33.7%, respectively.

The highest number of mislabeled and miscollected samples was from accident and emergency unit and medical ward, respectively.

Continuous monitoring and analysis of near misses data should be mandatory in order to improve the safety of transfusion.