| Why
transfusion accidents occur
Human error in patient or specimen
identification remains the major cause of preventable fatal reactions.
Such errors (due to fatigue, stress and inattention) by technologists,
nurses, interns, residents and physicians may cause routine safety
procedures to be circumvented. The Bloodloc Safety System is the first
system designed to insure that the properly crossmatched unit of blood
is transfused to the correct patient recipient.
How the Bloodloc System works
Each patient who is admitted to the
hospital is issued a wristband with a unique three-letter code. When a
blood sample is drawn, the plebotomist will transcribe
this unique code to the specimen tube, which code will then be
captured into the patient Blood Bank records. When blood is dispensed
from the Blood Bank, the blood is placed in an outer plastic bag and
locked with our patented disposable combination lock, Bloodloc. This
lock can ONLY be opened using the code found on the intended patient's
wristband at the patient's bedside. This insures positive identification
and correlation between unit of blood and patient.
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How
Bloodloc can prevent accidents
- Specimen collected from wrongly
identified patient:
Patient's code would be transcribed onto blood sample and then to
lock. Lock would not open as code would differ from intended
patient's code.
- Incorrect blood unit brought to
intended patient:
Codes would not correspond and lock would not open.
- Blood unit brought to wrongly
identified patient:
Codes would not correspond and lock would not open
Bloodloc is unique in two ways: errors of patient identification are
detected automatically and transfusion to a wrong patient is
physically prevented.
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Who
stands to benefit
- Bloodloc first and foremost protects
the patient. Risk of potentially fatal blood transfusions is
eliminated as Bloodloc establishes a physical barrier to human
error.
- Physicians, interns, nurses and
laboratory technicians all benefit by elimination of human error
and resulting liability.
- Nurses - opportunity to eliminate the
current requirement for the second person check of the wristband,
labelling of blood unit and accompanying compatibility documents to
insure the correctness of the unit of blood.
- Preservation of the hospital's good
reputation for its' services to patients.
- Hospital risk management and insurance
companies benefit from increased transfusion safety. There is no
valid defense against a mistransfusion.
- Extramural transfusion recipients
(dialysis centers/home transfusion)
- Single donor platelet (apheresis)
recipients Recipients of multiple aliquots from single units
- Autologous donors
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