{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T04:31:42Z","timestamp":1792816302036,"version":"4.5.0"},"reference-count":20,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2013,5,27]],"date-time":"2013-05-27T00:00:00Z","timestamp":1369612800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Transfusion"],"published-print":{"date-parts":[[2014,1]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Patients transfused at more than one health care facility face safety risks, because their transfusion record is fragmented. Blood group antibodies documented at one facility may be unknown to others. Because many antibodies are evanescent, access to prior antibody records is important for preventing incompatible transfusions and delayed hemolytic reactions. The study goal was to quantify multisite transfusion activity and its impact on antibody record accuracy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design and Methods<\/jats:title><jats:p>Patients (n\u2009=\u2009100) undergoing hospital transfusion testing were surveyed to determine the locations and dates of any prior transfusions. Also, transfusion records were examined to determine whether patients (n\u2009=\u2009200) known to be alloimmunized at one hospital had antibody testing done at another nearby hospital and, if so, how often the results were discrepant.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twenty\u2010three percent (23\/100) of patients undergoing type\u2010and\u2010screen testing reported receiving transfusions at 24 other facilities. Locations of transfusions that occurred elsewhere were 54.2% (13\/24) at eight other in\u2010state hospitals, 12.5% in bordering states, 20.8% in more distant states, and 12.5% during military service. Twenty\u2010one percent (42\/200) of patients known to be alloimmunized at one hospital had antibody test results on record at another nearby hospital. Antibody discrepancies were noted in 64.3% (27\/42) of cases. The most common discrepancy was the failure of one facility to detect an antibody.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Multisite transfusions were common. For patients seen at both of two nearby hospitals, antibody records were frequently discrepant. The findings support the need for interfacility sharing of transfusion records, particularly at the regional level.<\/jats:p><\/jats:sec>","DOI":"10.1111\/trf.12251","type":"journal-article","created":{"date-parts":[[2013,5,28]],"date-time":"2013-05-28T05:08:28Z","timestamp":1369717708000},"page":"98-103","source":"Crossref","is-referenced-by-count":51,"title":["Record fragmentation due to transfusion at multiple health care facilities: a risk factor for delayed hemolytic transfusion reactions"],"prefix":"10.1111","volume":"54","author":[{"given":"Nisha","family":"Unni","sequence":"first","affiliation":[{"name":"Pathology and Laboratory Medicine Service VA Connecticut Healthcare System  West Haven Connecticut"},{"name":"Department of Laboratory Medicine Yale University School of Medicine  New Haven Connecticut"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie","family":"Peddinghaus","sequence":"additional","affiliation":[{"name":"Pathology and Laboratory Medicine Service VA Connecticut Healthcare System  West Haven Connecticut"},{"name":"Department of Laboratory Medicine Yale University School of Medicine  New Haven Connecticut"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher A.","family":"Tormey","sequence":"additional","affiliation":[{"name":"Pathology and Laboratory Medicine Service VA Connecticut Healthcare System  West Haven Connecticut"},{"name":"Department of Laboratory Medicine Yale University School of Medicine  New Haven Connecticut"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gary","family":"Stack","sequence":"additional","affiliation":[{"name":"Pathology and Laboratory Medicine Service VA Connecticut Healthcare System  West Haven Connecticut"},{"name":"Department of Laboratory Medicine Yale University School of Medicine  New Haven Connecticut"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,5,27]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinternmed.2010.439"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1537-2995.2008.02014.x"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1537-2995.2000.40091127.x"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1537-2995.1988.28288179022.x"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1537-2995.1994.34294143938.x"},{"key":"e_1_2_8_7_1","first-page":"225","article-title":"The persistence of red cell alloantibodies","volume":"6","author":"Reverberi R","year":"2008","journal-title":"Blood Transfus"},{"key":"e_1_2_8_8_1","first-page":"305","article-title":"An animal model for delayed hemolytic transfusion reactions","volume":"15","author":"Ness PM","year":"2001","journal-title":"Transfus Med Rev"},{"key":"e_1_2_8_9_1","unstructured":"Bolton\u2010MaggsPH CohenHon behalf of the Serious Hazards of Transfusion (SHOT) Steering Group.The 2011 Annual SHOT Report. Manchester UK 2012."},{"key":"e_1_2_8_10_1","unstructured":"KnowlesS CohenHon behalf of the Serious Hazards of Transfusion (SHOT) Steering Group.The 2010 Annual SHOT Report. Manchester UK 2011."},{"key":"e_1_2_8_11_1","unstructured":"TaylorC CohenH MoldD JonesH DaviesT MistryH BallJ AsherD CawleyC ChaffeB ChapmanC GrayA JonesJ MilkinsC NewH NorfolkD ReganF StillE TinegateHon behalf of the Serious Hazards of Transfusion (SHOT) Steering Group.The 2009 Annual SHOT Report. Manchester UK 2010."},{"key":"e_1_2_8_12_1","unstructured":"TaylorC CohenH MoldD JonesH DaviesT AsherD CawleyC ChaffeB ChapmanC GrayA KnowlesS MilkinsC NewH NorfolkD StillE TinegateHon behalf of the Serious Hazards of Transfusion (SHOT) Steering Group.The 2008 Annual SHOT Report. Manchester UK 2009."},{"key":"e_1_2_8_13_1","unstructured":"TaylorC CohenH JonesH AsherD BrantL ChapmanC DaviesT GrayA MilkinsC NorfolkD TinegateHon behalf of the Serious Hazards of Transfusion (SHOT) Steering Group.The 2007 Annual SHOT Report. 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