Surveillance of blood in Norway 2010. TROLL. Recommendations
Report
|Updated
The purpose of this report is to form the knowledgebasis for the continuous improvement of the transfusion services.
Key message
General recommendations
1. Adverse events are well suited to learn and to understand the weaknesses in own routines.
- Use your own adverse events actively to learn and thereby improve the quality and safety locally.
- Report your own adverse events to the haemovigilance system, so that others can learn from these and national guidelines can be improved.
- Learn from adverse events reported from others, for example by reading the haemovigilance reports. What can happen in one place, will usually also take place elsewhere.
2. Think system. By calling it "an isolated, human error" you don’t help the next patient. Errors that one person can do, other people also do.
3. When side effects occur, or other adverse events are detected, consider also the possible consequences for other blood donors, patients and blood products.
For more recommendations, see the full report in PDF on top of the page.