Reports of 355 transfusion‐associated deaths: 1976 through 1985
@article{Sazama1990ReportsO3,
title={Reports of 355 transfusion‐associated deaths: 1976 through 1985},
author={Kathleen Sazama},
journal={Transfusion},
year={1990},
volume={30},
url={https://api.semanticscholar.org/CorpusID:22631788}
}Management systems for transfusion facilities should be created or revised to include the specific identification of personnel eligible to administer transfusions to provide written guidance and appropriate training, and to implement measures that target safe transfusion practices.
688 Citations
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The risk of transfusion of ABO‐incompatible blood remains significant, and additional precautions to minimize the likelihood of such events should be considered.
To err is human…
- 1990
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Although many of the reported cases did not result from human error, Sazama’s conclusion, “...wherever errors could be made, errors occurred,” is a disturbing reality.
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ABT-related mortality can be further reduced by universally applying the policies of avoiding prospective donors alloimmunized to WBC antigens from donating plasma products, adopting strategies to prevent HTRs, WBC-reducing components transfused to patients undergoing cardiac surgery, and reducing exposure to allogeneic donors through conservative transfusion guidelines and avoidance of product pooling.
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Transfusion-related mortality and morbidity data is infrequently reported, and a significant number of such deaths are attributable to misidentification of patient or units and are preventable by obsessional attention to clerical details.
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Interest in a variety of nonhemolytic adverse occurrences associated with blood transfusion has become a focus of clinical research and discussion within the transfusion medicine community.
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Transfusion‐Associated Fatalities: Review of Bureau of Biologies Reports 1976–1978
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Medicine
Review of the 70 transfusion‐associated fatalities reported to the Bureau of Biologics (BOB) between 1976 and 1978 revealed 44 acute hemolytic reactions, two delayed hemolytic reactions, five…
Fatalities from blood transfusion.
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Medicine
Both Schmidt and Myhre concluded that more than one half of the fatal reactions could be prevented, and they stress that the most common causes of fatal transfusion reactions involve clerical identity errors resulting in transfusion of blood to the body.
Special report: transfusion risks.
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Medicine
The benefits of blood transfusion must be considered and evaluated in terms of risk factors relating to the adverse effects of transfusion, and transfusions should be avoided unless patient care would be compromised if withheld.
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- 1989
Medicine
A mathematical model and nonparametric and parametric statistical analyses of recent data on TA‐AIDS indicate clearly the existing estimability problems and suggest about 1100 new cases to be reported between July 1988 and June 1989 and about 1500 more between July 1989 and June 1990.
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Medicine
A fatal case (a 55-yr-old man) of bacterial shock and sepsis following a transfusion with erythrocytes infected with Yersinia enterocolitica serotype 03, is reported. The blood donor had slight…
Escherichia coli sepsis from contaminated platelet transfusion.
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Medicine
This episode illustrates the continuing importance of sepsis as a cause of platelet transfusion reactions and demonstrates the usefulness of appropriate cultures and epidemiologic information in assessing the source.
Infectious complications due to transfusion acquired Yersinia enterocolitica
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Medicine
The findings demonstrated the effectiveness of a screening program in preventing HTLV-I transmission and the incidence of positives gradually increased with age of the donors.
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Medicine
The first case of babesiosis acquired in New Hampshire is reported and evidence indicating that the infection was transfusion acquired is cited, indicating potential for transmission of infection through blood donation.
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Medicine
The aplasia observed in graft-versus-host disease is presumably due to recognition by the donor's immune-reactive cells of histoincompatible antigens on the host's hematopoietic precursor cells.
Fatal Yersinia enterocolitica sepsis after blood transfusion.
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Medicine
A patient with fatal Yersinia enterocolitica sepsis was seen recently in the intensive care unit, and a whole-organism enzyme-linked immunosorbent assay of the donors' sera suggested a recent infection with Y enterocolite in an asymptomatic donor.