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applejw posted a topic in Transfusion ServicesOur facility uses Softbank and we have recently begun using the Ortho Vision. Vision is not licensed to perform IS crossmatches using a buffered gel card. I know that a few years back there was controversy over whether the validated computer system could be substituted for the immediate spin crossmatch and wording for CAP and AABB standards has changed to specify criteria to use the computer system to detect an ABO incompatibility when selecting blood for patients. My question is: Has anyone eliminated the IS XM for patients who have a history of (or currently demonstrating) antibodies, perform serological XM incubating at 37, perform reading at AHG phase and allow your validated computer system to detect possible ABO incompatibility? If yes, have you been inspected by CAP and/or AABB and was there an issue with it? I had a great deal of difficulty trying to word this question - since we have just implemented the Vision, it seemed like a good time to look at whether we needed to do the ISXM for our serologically crossmatched patients. My medical director agreed but I wanted to see if anyone has gone this route and gone through an inspection before I jump into the frying pan.