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ST1-6: Understanding Human Error for Improved Transfusion Safety


Oct 19, 2019 8:00am ‐ Oct 19, 2019 9:30am

Description

This session will discuss the debate about the prevalence and types of error in medicine (cognitive bias, systems failures, other) and how such error impacts patient safety, as well as controversial strategies for mitigating error. We will discuss the types and contribution of human errors in transfusion medicine. We review the current literature on sample collection and patient registration errors, and evaluate the use of near-patient electronic positive patient identification to reduce these errors.

Learning Objectives:

  • Discuss the prevalence and types of error - systems failures, cognitive bias, other- that occur in medicine and how such error impacts patient safety and the feasibility of cognitive debiasing strategies in mitigating error.
  • Report the current rates of sample collection errors and the impact of near-patient electronic positive patient identification on reducing errors.
  • Analyze the prevalence and types of errors that occur during patient registration that threaten transfusion safety.

Speaker(s):

  • Jeannie Callum, MD, FRCPC, Transfusion Medicine Specialist and Hematologist, Sunnybrook Health Sciences Centre
  • Quentin Eichbaum, MD, PhD, MPH. MFA, MMHC, JD, FCAP, FASCP, Vanderbilt University Medical Center
  • Richard M. Kaufman, MD, Medical Director, Brigham and Women's Hospital

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