These include errors in soft-tissue balancing, component malpositioning, and incorrect component sizing [6, 8].
Finally, surgery-related factors represent the most common cause of stiffness; they include errors in soft-tissue balancing, component malpositioning, and incorrect component sizing.
This resulted in 95 assembly corrections, pertaining to re-finishing incorrect component sequences to address deletions and insertions of several kB in length, the removal, addition or exchange of individual components, and the change of component order.
'Near miss' events are defined as any error, which if undetected, could result in the determination of a wrong blood group or transfusion of an incorrect component, but was recognized before the transfusion took place.
However, overall the most common adverse incidents are caused by errors, resulting in the transfusion of an incorrect component or one that does not meet the specific requirements of the patient (e.g. not irradiated or not appropriately antigen matched).
In general, bias can originate from preferential treatment, unrecognized pre-selection of validation animals, or inappropriate modeling of predictions (i.e. using incorrect variance components).
Incorrect MPC component detection.
The serious hazards of transfusion (SHOT) scheme has documented reports which consistently demonstrate that the administration of the incorrect blood component is a major cause of morbidity and mortality in the United Kingdom.
The system encourages reporting of near-miss events, where the patient is protected from receiving an unsuitable or incorrect blood component due to a planned or unplanned recovery step.
The outstanding finding every year from SHOT reporting is that incorrect blood component transfusions make up the largest group of adverse incidents.
