**NEW** 10/31/2006
**REVISED** 09/27/2007 TRM.30575 Phase I N/A YES NO
Does the facility have a plan to implement a system to reduce the risk of mistransfusion for nonemergent
red cell transfusions? Among options that
might be considered are: (1) Documenting the ABO group of the intended recipient on a second
sample collected at a separate phlebotomy (including documentation in the institution’s historical
record); (2) Utilizing a mechanical barrier system or an electronic identification verification system
that ensures that the patient from whom the pretransfusion specimen was collected is the same patient
who is about to be transfused. The use of a second manual banding system, while currently
acceptable, is probably not as effective as the above two options.
The second manual banding system has worked for us for the 30 years I have been in Transfusion Medicine. When wireless is implemented, we will go that route.