Common Causes of Blood Transfusion Events in a University Hospital: Analysis of Incident Reports
1 other identifier
observational
131
1 country
1
Brief Summary
Inhospital the blood transfusion process consists of many phases: ordering the blood product, analysis of the blood sample, delivery, transport and storage of the blood product and administration. In each of these phases (near) accidents may occur. A severe transfusion incident refers to the transfusion of a wrong blood product, whereas a near miss is detected before transfusion. In 2010 the University Hospitals Leuven introduced a new electronic patient incident report system for transfusion events. In this study the investigators will analyze the reported blood transfusion events to detect the most common causes of blood transfusion events and the weakest link in the blood transfusion chain.
Trial Health
Trial Health Score
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participants targeted
Target at P50-P75 for all trials
1 active site
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Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 1, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 1, 2013
CompletedFirst Submitted
Initial submission to the registry
February 12, 2013
CompletedFirst Posted
Study publicly available on registry
March 18, 2013
CompletedMarch 18, 2013
February 1, 2013
1 month
February 12, 2013
March 13, 2013
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Severity of inhospital blood transfusion events
included events will be classified into near misses or severe incidents
up to 1,5 years
Secondary Outcomes (1)
Causes of inhospital blood transfusion events
up to 1,5 years
Other Outcomes (2)
Incidence of inhospital blood transfusion events
up to 1,5 years
Is there a relation between misidentification events and the setting where the event took place?
up to 1,5 years
Eligibility Criteria
All patients in a university hospital which experienced a transfusion event
You may qualify if:
- all transfusion events reported in the University Hospitals Leuven between January 2011 and July 2012
- Both severe accidents and near misses were included
You may not qualify if:
- Transfusion reactions
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
University Hospitals Leuven
Leuven, Belgium
Study Officials
- STUDY DIRECTOR
Timothy Devos, MD, PhD
Department of Hematology, University Hospitals Leuven, Herestraat 49, 3000 Leuven, Belgium
- PRINCIPAL INVESTIGATOR
Els Costermans, RN
Department of Hematology, University Hospitals Leuven, Herestraat 49, 3000 Leuven, Belgium
Study Design
- Study Type
- observational
- Time Perspective
- RETROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
February 12, 2013
First Posted
March 18, 2013
Study Start
January 1, 2013
Primary Completion
February 1, 2013
Last Updated
March 18, 2013
Record last verified: 2013-02