The Hospital Authority is set to implement new measures to ensure patient safety after a blood transfusion mishap at Prince of Wales hospital.
The authority said today it has accepted the findings of an investigation into the September 8 incident, and its subsequent safety recommendations.
A 74-year-old woman was admitted on September 7 for treatment to anaemia likely caused by gastrointestinal bleeding. But an intern administered a wrongful blood transfusion the following day. The woman is now recovering and in stable condition after the error.
The report blamed wrong patient blood sampling for the incident, a mishap due to human error, and a warning has been issued to the intern.
The recommendations include:
* focusing on system and process improvement for risk management;
* improving patient identification accuracy;
* awareness of healthcare workers' physical state and health condition; and,
* promulgating a symptom-orientated protocol to handle major transfusion reaction.
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