From the Headlines: Hospital Cited in Transfusion Error

A patient died in the ER after receiving a transfusion of the wrong blood type. "'Eight units of Type A blood were prepared for [a different] patient but only six were used,' the report said. The report by the Agency for Healthcare Administration reveals that there was "no documentation of what was done with the additional two units of blood."

It would seem to me that this is a significant piece of information that was inadvertantly left off of the documentation. Surely there is a procedure for dealing with this situation that was not followed properly.

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