Business > CASE STUDY > Never Event CASAL 2.docx Never Event: Blood Incompatibility CASAL 2 Western Governors (All)

Never Event CASAL 2.docx Never Event: Blood Incompatibility CASAL 2 Western Governors

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Never Event CASAL 2.docx Never Event: Blood Incompatibility CASAL 2 Western Governors University Incidence Hemolytic transfusion reactions cause serious problems within the body. However, the... incidence of this occurring is rare. Its estimated these reactions occur one out of every 5,000 blood transfusions, and one out of 100,000 are fatal (Acute). All of these instances occur from ABO incompatibility. Causes These reactions occur when an ABO or Rh blood type of the transfused blood does not align with the patients blood (ABO). The most common cause is from clerical error. There are lab tests and checks done before nurses get their hands on the donor blood. However, once a nurse comes into play, they must double-check information from the donor to the patient, which involves co-checking with a laboratory technician. Consequences Blood incompatibility causes blood clotting, which can use up clotting factors and leave the patient at risk of excessive bleeding. Products of broken-down blood cells can cause kidney damage and possibly lead to kidney failure. This reaction can become life-threatening unless it is treated right away. Strategies There many barriers to overcoming risks of the transfusion process (Murphy). Before any transfusion, a risk assessment must take place. The physician ordering the transfusion must evaluate the many risks involved versus the consequences of the patient going without blood. Surveillance and reporting of transfusions reduce the risks of having this proce. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . .. .. . . . . . . . . . . . . . . . . . .. . . . . [Show More]

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