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Electronic transfusion safety system

2025Recensão Acesso aberto
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dc.contributor.authorHaro, Marta
dc.contributor.authorRamos, Susana
dc.contributor.authorMagalhães, Teresa
dc.contributor.institutionEscola Nacional de Saúde Pública (ENSP)
dc.contributor.institutionLaboratório Associado de Translacção e Inovação para a Saúde Global - LA Real (Pólo ENSP)
dc.contributor.institutionComprehensive Health Research Centre (CHRC) - Pólo ENSP
dc.contributor.institutionCentro de Investigação em Saúde Pública (CISP/PHRC)
dc.contributor.pblKarger
dc.date.accessioned2025-07-18T21:20:39Z
dc.date.available2025-07-18T21:20:39Z
dc.date.issued2025
dc.descriptionPublisher Copyright: © 2025 The Author(s).
dc.description.abstractIntroduction: The healthcare system is complex and dynamic, and the implementation of information technology is seen as an important aid to patient safety. Data reveal that 1 in every 10 patients in developed countries is affected by a clinical error. The transfusion process involves several stakeholders and multiple stages with various critical points within the hospital. This study aims to understand patient safety incidents caused by failures in the Electronic Transfusion Safety System (ETSS) based on barcode technology in a hospital setting, from storage to the administration of blood components to the patient. Methods: A retrospective study spanning 3 years (2021-2023) with a mixed-methods approach was chosen. A Focus Group with six experts was conducted, and 136 reports from the anonymized incident reporting database with the typology "Blood and Blood Products"from a hospital in Lisbon were analyzed. Results: The ETSS diagram using barcodes allowed for the identification and description of all stages and their stakeholders. The critical points identified were patient identification, multiple relabeling, and transportation. A higher incidence rate of near-miss events was observed during sample collection and prescription. Discussion: This ETSS is hybrid, meaning that it has both human and technological components. Since 96% of the incidents did not cause harm to the patient, error detection and prevention mechanisms are being activated. This study has demonstrated the importance of IT in the transfusion process, as well as the relevance of continuous investment and the involvement of all stakeholders for a better patient safety environment.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent691575
dc.identifier.doi10.1159/000543841
dc.identifier.issn2504-3137
dc.identifier.otherPURE: 122046808
dc.identifier.otherPURE UUID: 9e4c3e25-3abc-44b1-8999-1333a7481523
dc.identifier.otherScopus: 105006510540
dc.identifier.otherPubMed: 40385519
dc.identifier.otherPubMedCentral: PMC12084030
dc.identifier.otherWOS: 001495272500001
dc.identifier.urihttp://hdl.handle.net/10362/185321
dc.identifier.urlhttps://www.scopus.com/pages/publications/105006510540
dc.language.isoeng
dc.peerreviewedyes
dc.subjecte-Health
dc.subjectError
dc.subjectHemovigilance
dc.subjectPatient safety
dc.subjectTransfusion medicine services
dc.subjectHealth Policy
dc.subjectPublic Health, Environmental and Occupational Health
dc.subjectSDG 3 - Good Health and Well-being
dc.titleElectronic transfusion safety systemen
dc.title.subtitlecharacterization of patient safety incidentsen
dc.typereview
degois.publication.firstPage95
degois.publication.issue2
degois.publication.lastPage111
degois.publication.titlePortuguese Journal of Public Health
degois.publication.volume43
dspace.entity.typePublication
rcaap.rightsopenAccess

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