I'm wondering how to comply with a couple of sections of this item. I am using a log sheet to document errors and actions taken regarding sample identification from collection. But how can we address "the transfusion itself including recipient identification"? TRM.30550 Misidentification Risk The facility has a documented program to ensure that the risk of pretransfusion sample misidentification and other causes of mistransfusion are monitored and subjected to continual process improvement. NOTE: The laboratory must actively monitor the key elements of the transfusion process, including, as applicable, donor management, unit production and handling, sample identification and testing, and the transfusion itself including recipient identification. Evidence of Compliance: Occurrence records/error logs documenting appropriate review and follow-up of significant errors in identification and other processes AND Records of investigation and appropriate corrective/preventive action (e.g. education of staff, changes in procedures, etc.) for significant errors/review of monitoring data for corrective action and process improvement, when appropriate
