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Healthcare Facility Compliance 12 items

Blood Transfusion Service AABB Compliance Audit

Audit of hospital transfusion services covering patient identification, compatibility testing, blood storage, and transfusion reaction management under AABB standards.

AABB StandardsFDA 21 CFR 606CMS 42 CFR 482.27

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Specimen & Patient Identification

  • Is the patient positively identified using two independent identifiers at specimen collection? *
  • Is the type-and-screen specimen labeled at the bedside with patient identifiers and collection date? *
  • Is a second determination of ABO group required before issuing non-group-O red cells to a patient without prior history? *

Compatibility Testing

  • Are ABO/Rh typing and antibody screening performed on the recipient before red cell transfusion? *
  • Is crossmatch or electronic crossmatch performed and documented before red cell issue? *
  • Are special processing requirements (irradiation, CMV-negative, leukoreduction) met when indicated? *

Storage & Issue

  • Are blood products stored at monitored, alarmed temperatures with continuous recording? *
  • Is a visual inspection of each unit performed before issue for abnormal color, clots, or leaks? *
  • Is a final clerical check comparing the unit, tag, and patient identifiers performed before transfusion? *

Administration & Reactions

  • Are patient vital signs recorded before, during, and after transfusion per policy? *
  • Is transfusion of a unit completed within the maximum allowable time (typically 4 hours)? *
  • Is a suspected transfusion reaction stopped, reported, and investigated with a clerical and serologic check? *

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