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Serious Hazards of Transfusion (SHOT) Annual Report 1998 -1999
Serious Hazards of Transfusion (SHOT)
Serious Hazards of Transfusion (SHOT)
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Abstract
For the third year running the most important single cause contributing to mis-transfusion was failure of some aspect of the bedside checking procedure immediately prior to administering the transfusion. There was some evidence to suggest that interruption during this critical step may have played a significant part in failure of the process.