Evaluation of transfusion incidents and near-misses in a hospital on the coast of Santa Catarina

Transfusion medicine is not free of risks and their source could be both technical human. The near-miss a deviation from procedure detected before its occurrence, which result in an erroneous transfusion and/or reaction. incidents turn comprise the deviations security policy, leading to inadequate transfusions. This study aimed evaluate near-misses agency on coast Santa Catarina, Brazil. pre-analytical, analytical post-analytical phases pre-transfusion tests were evaluated using forms based current hemotherapy legislation filled out locally by researchers. obtained data sectioned identifications (IDs) respective phases. Among evaluations, 10,562 on-site observations counted, nonconformities pre-analytical tests. Nonconformities due non-execution (6.7%), non-identification patient prior biological sample collection (69.9%) blood component installation (75.3%). Non-follow-up initial was 81.9% non-compliance. However, there low number near-misses, totaling 0.10%. In period this it possible identifying that loco evaluation activities important detect near-misses. way, audit procedures training professionals can help reduce caused lack human attention.