Table 4.
Report IDs | Sum | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
True errors | ||||||||||||||
Wrong blood Wrong patient |
2–20 09 Pasos 1 |
3–20 09 CM3745 |
8–20 09 32-20 11 |
Pasos 8 | CM53 11 | CM47 89 | CM35 07 | CM 34 49 | CM28 89 | CM28 11 | CM29 530 | 41-20 12 | 52-20 13 | 13 3 |
Near misses | ||||||||||||||
Wrong blood | Pasos5 | 7–20 09 | 13–20 10 | CM43 63 | CM42 39 | CM30 05 | CM15 711 | 61-20 13 | 62-20 13 | 9 | ||||
Wrong patient | Pasos 11 | 11–20 10 | 20–20 10 | CM51 41 | CM27 278 | 5 | ||||||||
True errors total (% of all errors) | 16 (54) | |||||||||||||
Near misses total (%) | 14 (4.2) |
Report IDs for mismatches of blood product and recipients. Counted is the number of errors as opposed the number of mismatched patients or blood products: The number of subjects concerned with this problem is different from the number of errors, i.e. one mismatch concerns frequently a second patient. Percentage given is the rate of all incidents (see table 3).