{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T07:42:18Z","timestamp":1792568538250,"version":"4.5.0"},"reference-count":38,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T00:00:00Z","timestamp":1785974400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T00:00:00Z","timestamp":1785974400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100015652","name":"Barts Charity","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100015652","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Br J Haematol"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:p>Bedside electronic transfusion check (BETC) systems support safer practice by aiding staff in patient identification during group and screen (G&amp;S) sample labelling and blood component administration, steps where most transfusion errors occur. While the safety rationale is clear, the significant costs necessitate robust cost\u2013benefit evaluation. During phased BETC implementation in four London hospitals, we mapped in detail transfusion workflow, quantifying staff time saved under three modes of technology adoption which enable three corresponding states of organisational use: Mode\u2010A (baseline: manual\u2010only); Mode\u2010B (partial technology\u2010capability implementation, mixed coverage and staff uptake); and Mode\u2010C (full implementation, wide coverage and 100% uptake). Benefits depend on implementation mode and uptake. Across the whole transfusion pathway, estimated staff\u2010time saved per blood unit (including fewer G&amp;S) was 9.3\u2009min (20% reduction) under Mode\u2010B and 17.3\u2009min (38%) under Mode\u2010C compared with baseline. Estimated annual time savings across the four hospitals were 8950\u2009h (Mode\u2010B) and 16\u2009650\u2009h (Mode\u2010C), including fewer G&amp;S samples (3800 Mode\u2010B; 26\u2009950 Mode\u2010C) because of fewer rejections with BETC\u00a0and\u00a0the potential to remove the second G&amp;S sample policy under Mode\u2010C.\u00a0BETC also substantially improved staff compliance with safety protocols. Overall, BETC can deliver significant efficiency gains alongside safety improvements, supporting the case for wider adoption.<\/jats:p>","DOI":"10.1111\/bjh.70681","type":"journal-article","created":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T09:20:42Z","timestamp":1786008042000},"page":"1311-1320","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Efficiency and safety gains from bedside electronic transfusion checks in four hospitals in England"],"prefix":"10.1111","volume":"209","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1176-8088","authenticated-orcid":false,"given":"Nathan","family":"Proudlove","sequence":"first","affiliation":[{"name":"Alliance Manchester Business School University of Manchester  Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Florence","family":"Oyekan","sequence":"additional","affiliation":[{"name":"Barts Health NHS Trust  London UK"},{"name":"Blizard Institute, Barts and the London School of Medicine and Dentistry Queen Mary University of London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0523-5880","authenticated-orcid":false,"given":"Montasir","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Wolfson Institute of Population Health Queen Mary University of London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Louise","family":"Bowles","sequence":"additional","affiliation":[{"name":"Barts Health NHS Trust  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yan","family":"Feng","sequence":"additional","affiliation":[{"name":"Wolfson Institute of Population Health Queen Mary University of London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helinor","family":"McAleese","sequence":"additional","affiliation":[{"name":"Barts Health NHS Trust  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4598-1979","authenticated-orcid":false,"given":"Josephine","family":"McCullagh","sequence":"additional","affiliation":[{"name":"Barts Health NHS Trust  London UK"},{"name":"Blizard Institute, Barts and the London School of Medicine and Dentistry Queen Mary University of London  London UK"},{"name":"NHS Blood and Transplant  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2375-7503","authenticated-orcid":false,"given":"Michael F.","family":"Murphy","sequence":"additional","affiliation":[{"name":"NHS Blood and Transplant  London UK"},{"name":"Oxford University Hospitals NHS Foundation Trust  Oxford UK"},{"name":"Blood and Transplant Research Unit, Nuffield Division of Clinical Laboratory Sciences, Radcliffe Department of Medicine University of Oxford  Oxford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7414-4950","authenticated-orcid":false,"given":"Simon J.","family":"Stanworth","sequence":"additional","affiliation":[{"name":"NHS Blood and Transplant  London UK"},{"name":"Oxford University Hospitals NHS Foundation Trust  Oxford UK"},{"name":"Blood and Transplant Research Unit, Nuffield Division of Clinical Laboratory Sciences, Radcliffe Department of Medicine University of Oxford  Oxford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Green","sequence":"additional","affiliation":[{"name":"Barts Health NHS Trust  London UK"},{"name":"Blizard Institute, Barts and the London School of Medicine and Dentistry Queen Mary University of London  London UK"},{"name":"NHS Blood and Transplant  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,6]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"NarayanS BakerP BellamyM BentleyA Bolton\u2010MaggsP BoothC et\u00a0al.The 2023 Annual SHOT Report. 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