{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T06:11:38Z","timestamp":1781849498749,"version":"3.54.5"},"reference-count":9,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2020,8,28]],"date-time":"2020-08-28T00:00:00Z","timestamp":1598572800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Transfusion"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The AABB (American Association of Blood Banks) and the College of American Pathologists (CAP) regulations call on blood banks to address the risk of misidentification of a patient's blood type, which can result in transfusion of a mismatched product. Transfusion of mismatched blood product is potentially fatal due to acute hemolytic transfusion reaction and is considered a preventable event. CAP regulations outline options to reduce risk of mistransfusion by either documenting the ABO group of the intended recipient on a second sample collected at a separate phlebotomy, or utilizing a mechanical barrier system or electronic identification verification system that ensures the patient from whom the pretransfusion specimen was collected is the same patient who is about to be transfused.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design and Methods<\/jats:title><jats:p>An electronic or barrier system was not available for implementation at our institution, therefore we developed a protocol for a two\u2010sample verification system. The first determination is performed on a current sample and the second by one of the following methods: (a) comparison with previous laboratory records, (b) testing a second sample collected at a time different from the first sample (i.e., laboratory specimen available with a different timestamp, or a new blood sample).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We improved our transfusion process and implemented a policy to require a second sample to confirm a patient's blood type. We also implemented workflows to obtain blood type confirmation from history of a second blood type result from previous laboratory records, including a policy to accept previous blood type records from an outside laboratory.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>We describe a practice change for two\u2010sample verification for type and screen in a large\u2010scale pediatric hospital. We outline specific workflows for pre\u2010operative and emergency transfusion scenarios, and pediatric\u2010specific challenges.<\/jats:p><\/jats:sec>","DOI":"10.1111\/trf.15997","type":"journal-article","created":{"date-parts":[[2020,8,29]],"date-time":"2020-08-29T05:22:48Z","timestamp":1598678568000},"page":"2787-2792","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["How do I\u2026Incorporate a two\u2010sample blood type verification in a pediatric hospital?"],"prefix":"10.1111","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7145-4921","authenticated-orcid":false,"given":"Jorge","family":"G\u00e1lvez","sequence":"first","affiliation":[{"name":"Anesthesiology &amp; Critical Care Medicine The Children's Hospital of Philadelphia  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Grace","family":"Hsu","sequence":"additional","affiliation":[{"name":"Anesthesiology &amp; Critical Care Medicine The Children's Hospital of Philadelphia  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott","family":"Dubow","sequence":"additional","affiliation":[{"name":"Anesthesiology &amp; Critical Care Medicine The Children's Hospital of Philadelphia  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leslie","family":"Obermeier","sequence":"additional","affiliation":[{"name":"Anesthesiology &amp; Critical Care Medicine The Children's Hospital of Philadelphia  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pamala","family":"Blair","sequence":"additional","affiliation":[{"name":"Pathology and Laboratory Medicine Children's Hospital of Philadelphia  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Friedman","sequence":"additional","affiliation":[{"name":"Pediatric Hematology Children's Hospital of Philadelphia  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deborah","family":"Sesok\u2010Pizzini","sequence":"additional","affiliation":[{"name":"Pathology and Laboratory Medicine University of Pennsylvania  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,8,28]]},"reference":[{"key":"e_1_2_5_2_1","volume-title":"Standards for blood banks and transfusion services","author":"McKenna DH","year":"2018"},{"key":"e_1_2_5_3_1","unstructured":"American College of Pathologists.Transfusion Medicine Checklist: College of American Pathologists.2017."},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/trf.15102"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1423-0410.2003.00313.x"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1537-2995.2000.40101207.x"},{"key":"e_1_2_5_7_1","volume-title":"WHO guidelines on drawing blood: best practices in phlebotomy","author":"World Health Organization","year":"2010"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.12788\/jhm.2704"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.4338\/ACI-2015-11-RA-0158"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.4338\/ACI-2016-11-RA-0196"}],"container-title":["Transfusion"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/trf.15997","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/trf.15997","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/trf.15997","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,5]],"date-time":"2023-09-05T01:21:48Z","timestamp":1693876908000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/trf.15997"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,8,28]]},"references-count":9,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2020,12]]}},"alternative-id":["10.1111\/trf.15997"],"URL":"https:\/\/doi.org\/10.1111\/trf.15997","archive":["Portico"],"relation":{},"ISSN":["0041-1132","1537-2995"],"issn-type":[{"value":"0041-1132","type":"print"},{"value":"1537-2995","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,8,28]]},"assertion":[{"value":"2020-03-17","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-05-21","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-08-28","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}