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Wrong Blood in Tube events – Every report counts
Time limits matter
Check paediatric threshold before transfusion
One process
Avoid unnecessary use of emergency red cells
Sample wisely
Right baby, right care
Learn from day-to-day events
Preventing K Antigen sensitisation
Transfusion education matters
System-based interventions
Share the learning
IT and staff knowledge
Involve patients to enhance transfusion safety
Competence improves transfusion safety
Make the right selection
It takes two to match me
Checklists save lives – collect the right unit
Double Trouble – only check one unit at a time
Cold Chain Compliance
Checklist – get it right first time
IT supports safe transfusion
Is your transfusion necessary?
Every minute counts – PCC delays
Specific requirements for haemoglobinopathy patients
Do not delay – emergency transfusion saves lives
Do not assume , verify
Make every transfusion decision matter
Learning from near misses
Work Accurately and Reduce Mistakes – WARM
Make every test matter – avoid unnecessary blood tests
Incident investigations
Check for specific requirements
Reduce risk!
Accurate patient identification is fundamental
Paediatric blood prescribing
Near misses are good catches
Use the correct giving set and infusion device
Beware of alert fatigue!
Accurate patient identification is critical
The 7 C’s of safe and effective communication
Consessionary release
Electronic issue
Ensuring safety is in our hands
Near Miss
PPID
Pre-transfusion safety checks
Safety is paramount
Transfusion Decisions
Transfusion History
Transplant Patients – Communication
Illustrations by Jenny Leonard