Undertransfusion

Status: 
Ready to upload
Record number: 
1754
Adverse Occurrence type: 
MPHO Type: 
Estimated frequency: 
At an academic medical center, all patients with a hemoglobin concentration < 6g/dL not given transfusions within 72 hours were identified. Evidence of undertransfusion not documented.
Time to detection: 
Follow-up up to 72 hours post-hemoglobin < 6g/dL determination
Alerting signals, symptoms, evidence of occurrence: 
Patients' clinical status. Evidence of undertransfusion not documented.
Demonstration of imputability or root cause: 
Chart review using predefined criteria.
Groups audience: 
Suggest new keywords: 
under transfusion
Reference attachment: 
Suggest references: 
Hibbs S, et al. Is undertransfusion a problem in modern clinical practice? Transfusion 2015; 55: 906-10
Note: 
Patients transfused between 24 and 72 hours from the low Hb or Plt count were excluded from analysis (13% of episodes).
Expert comments for publication: 
Good description of study methods for investigating undertransfusion.