lindam923 Posted August 6, 2010 Share Posted August 6, 2010 Do you think this is FDA reportable? I am leaning toward "yes". A patient had a WAA. It was positive in gel, LISS and at 30" saline. Patient has not been transfused since 2005. Our SOP states an absorption needs to be done to rule out clinically significant antibodies. Absorption was not done. Physician signed form for incompatible blood. Two units were dispensed to the patient.Thanks! Link to comment Share on other sites More sharing options...
SMW Posted August 6, 2010 Share Posted August 6, 2010 If the physician approved release of the products without the absorptions being performed before the products were released, i.e., pre-approved deviation from procedure, then this would not be an FDA reportable event. Link to comment Share on other sites More sharing options...
lindam923 Posted August 6, 2010 Author Share Posted August 6, 2010 the physician did approve release of incompatible units, however was unaware the absorption had not been completed. Link to comment Share on other sites More sharing options...
Eagle Eye Posted August 7, 2010 Share Posted August 7, 2010 if your medical director gave approval based on history(previous panel strength, no transfusion since last work up, medical emergency) and clinician signed emregency release then it is not FDA reportable. Link to comment Share on other sites More sharing options...
Lcsmrz Posted August 7, 2010 Share Posted August 7, 2010 I would also lean "yes". You issued two units that did not meet your SOP's "special testing" requirement without prior approval for the exception -- you would have not have issued, had you known that absorbtions were not done."No harm, no foul" does not apply ... Link to comment Share on other sites More sharing options...
shelleyk482 Posted August 9, 2010 Share Posted August 9, 2010 If this was not a planned deviation from SOP with prior approval by the Medical Director, then my opinion is that this is an FDA reportable. Link to comment Share on other sites More sharing options...
QRISTOFIR Posted August 18, 2010 Share Posted August 18, 2010 Oh Yes it is a reportable. The key is that if that deviation went undetected until after the units left your custody, there's a discernible chance that something more serious can also slip through your cracks and that's why the FDA wants to know and also how you plan to plug the cracks. We often find ourselves trying to justify the deviation after the fact or trying to show how innocuous it truly was, but the fact is an error made it past our process controls and we have to fix the WHY and the HOW Link to comment Share on other sites More sharing options...
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