Near-Miss events in Blood Centre at a Tertiary Care Hospital, North India : "Near Hit or Narrow Escape"

Abstract

Introduction : A near miss event in transfusion practice is defined as a deviation from standard procedures discovered before transfusion that could have lead to a transfusion error but did not. Case report : Two cases were reported. One was of the missampling and mislabelling and another was of the mishandling of the blood which if transfused could have endangered the life of the patient.

Conclusion :  A joint effort involving both the clinical and blood centre are necessary to improve transfusion safety. Information on near-miss events provides pivotal data on areas of improvement to prevent actual errors in the future. 

Keywords : Near miss, endangered, mislabelling, mishandling, missampling