| Problems |
Solutions |
| Determination of blood type and cross-match (differently written blood type on the file and system, reaffirmation of blood types many times, sometimes labeling errors) |
Use of blood barcode readers in clinics and an identity- check to be used for labeling the blood sample tube before leaving the bedside |
| Calling the blood center from the clinic to verify if the blood for cross-match has reached (waiting time on the phone, calling the blood center many times to check the cross-match) |
Establishing an electronic blood monitoring system |
| Differences in the time of receiving the blood transfusion consent form |
Ensuring standardization in filling the patient information section of the transfusion tracking form |
| Mode of transportation used to deliver the blood to the clinic |
Rapid and safe transportation should be provided |
| Delivery of non-irradiated blood although irradiated blood was requested and return of blood for processing |
Estimating compliance with hospital protocols/clinical guidelines in practice |
| Lack of pediatric blood bag |
Should certainly be available |
| Different applications for transfusion tracking form according to the clinics (sometimes writing patient information manually, sometimes sticking barcode, sometimes second copy labeling error) |
Use of simulation in blood transfusion training to ensure patient safety |
| No protocols of transfusion for emergency and extracorporeal membrane oxygenation patients |
Proper education and training regarding clinical guidelines provided to the health professionals on blood product transfusion and patient blood management |
