Report date | 9/9/1999 | 4/11/1999 |
Discovery date | 9/9/1999 | 4/11/1999 |
Discovery time | 12–4 am | 12–4 am |
Discoverer’s job description | Medical laboratory technician | Medical laboratory technician |
Where discovered | Transfusion service | Transfusion service |
What happened | Wrong RBC expiration entered in Hemocare | Wrong expiration date entered when RBC modified to irradiated |
How discovered | Upon transfusion reaction investigation | MLT discovered immediately issue record |
Point in process discovered | After issue, before infusion | After issue, before infusion |
Product record action | Unit destroyed | Unit destroyed |
Date event occurred | 8/9/1999 | 4/11/1999 |
Occurrence time | 12–4 pm | 12–4 am |
Person involved | Registered nurse | Registered nurse |
Where first occurred |
Consequent event type 1 | 3 | 3 |
Consequent event a | PC | UM |
Consequent event b | 002 | 001 |
Antecedent event a |
Antecedent event b |
Follow up | Monitor | Monitor |
Investigation type | Routine investigation | Routine investigation |
RL cause code 1 | HSS | HSS |
RL cause code 2 | TEX | TD |
RL cause code 3 | | TEX |