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REVIEW ARTICLE
Year : 2019  |  Volume : 4  |  Issue : 2  |  Page : 132-139

Risk mitigation in blood transfusion services – A practical approach at the blood center level


Department of Transfusion Medicine, Manipal Hospital, Bengaluru, Karnataka, India

Correspondence Address:
Dr. Shivaram Chandrashekar
Department of Transfusion Medicine, Manipal Hospital, Bengaluru, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/GJTM.GJTM_58_19

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Hemovigilance is a set of surveillance procedures starting from the donor vein and ending with the patient vein, aimed at reducing the risks associated with transfusion which could be donor related, recipient related, or process related. Donor-related risks include local and systemic complications which need a variety of interventions to ensure safe blood donation and are mainly aimed at preventing local trauma and fall or injury after a blood donation resulting from a vasovagal reaction. Recipient-related risks are hemolytic and nonhemolytic in nature and may present with fever, rash, or dyspnea besides other features. Appropriate mitigation measures are needed for each of them, especially the more ominous ones like transfusion-related acute lung injury/transfusion-associated circulatory overload. Process-related risks are the leading cause of risks associated with transfusion. Human errors can be mitigated by the use of technology such as barcoding, radio-frequency identification, digital transporter boxes, and having effective protocols and checklists in place.


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