@article {1816, title = {Mislabeled units of umbilical cord blood detected by a quality assurance program at the transplantation center.}, volume = {114}, year = {2009}, note = {Status: MEDLINE; Comments: Comment in: Blood. 2009 Aug 20;114(8):1459-60; PMID: 19696210; Publishing Model: Journal available in: Print-Electronic Citation processed from: Internet; NLM Journal Code: a8g, 7603509; Other ID: Source: NLM. PMC2731643; Grant Number: P01 CA65493 (United States NCI NIH HHS)}, month = {Aug 20}, pages = {4}, address = {United States}, abstract = {We instituted procedures to check the identity of cord blood unit provided for transplantation by carrying out ABO and human leukocyte antigen (HLA) typing of the thawed units before transplantation. ABO typing is done using standard techniques. Rapid HLA class I serology is with monoclonal antibody trays (One Lambda Inc) using standard incubations. One mislabeled umbilical cord blood (UCB) unit was detected on the day of intended transplantation by repeat ABO typing of the thawed unit at our transplantation center. Because ABO typing will not detect all labeling errors, the rapid serologic class I HLA typing procedure was done on thawed units just before transplantation for all units without an attached segment. This procedure identified a second mislabeled unit. In a 6-year period, 2 of 871 (0.2\%) cord blood units sent to us for transplantation were mislabeled and potentially would have been transplanted incorrectly. This error rate of 1 per 249 (0.4\%) patients could have potentially devastating consequences.}, keywords = {Adolescent, AIM, IM, Blood Banks / mt [Methods], Blood Banks / og [Organization \& Administration], Blood Banks / st [Standards], Blood Grouping and Crossmatching, Blood Transfusion / st [Standards], Efficiency, Organizational, Female, Fetal Blood, Fetal Blood / tr [Transplantation], Humans, Male, Medical Errors / pc [Prevention \& Control], Middle Aged, Product Labeling / st [Standards], Quality Control}, issn = {0006-4971}, doi = {http://dx.doi.org/10.1182/blood-2009-02-205047}, author = {McCullough,J. and McKenna,D. and Kadidlo,D. and Maurer,D. and Noreen,H. J. and French,K. and Brunstein,C. and Wagner,J. E.} }