Electronic blood transfusion: Improving safety and efficiency of transfusion systems

"Transfusion errors are an important, avoidable, serious hazard. Wrong transfusion is one of the two leading causes of death from transfusion reported to Serious Hazards of Transfusion (SHOT) in the United Kingdom (SHOT steering committee 2011). The initiative ‘re-engineers’ hospital transfusion services using new technology."

Electronic blood transfusion: Improving safety and efficiency of transfusion systems (Quality and Productivity case study)
Oxford University Hospitals
NICE
February 2016

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Exploring patterns of error in acute care using framework analysis

"In order to improve the management of acutely unwell patients by junior doctors, medical educators must understand the causes of common errors. Adequate knowledge alone does not ensure prompt and appropriate management and referral."

Exploring patterns of error in acute care using framework analysis
VR Tallentire, SE Smith, J Skinner, HS Cameron
BMC Medical Education 2015, 15:3 doi:10.1186/s12909-015-0285-6

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Quality improvement programme, focusing on error reduction

"When monitored as part of a quality improvement strategy, ‘missed’ and ‘uncharted’ drug dose information may reflect wider institutional changes and act as a valid indicator of quality of healthcare more generally."

Quality improvement programme, focusing on error reduction: a single center naturalistic study
D Rosser, NJ Cowley, D Ray, PG Nightingale, T Jones, J Moore, JJ Coleman
Journal of the Royal Society of Medicine Short Reports, 2012, 3(6):36-42

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