Marjon Borgert

170 Chapter 7 REFERENCES 1. Rana R, Fernández-Pérez ER, Khan SA, et al. Transfusion-related acute lung injury and pulmonary edema in critically ill patients: a retrospective study. Transfusion. 2006;46:1478- 83. 2. Stainsby D, Russell J, Cohen H, Lilleyman J. Reducing adverse events in blood transfusion. Br J Haematol. 2005;131:8-12. 3. Bolton-Maggs PHB, Cohen H. Serious hazards of transfusion (SHOT) haemovigilance and progress is improving transfusion safety. Br J Haematol. 2013;163:303-14. 4. Stainsby D, Jones H, Asher D, et al. Serious hazards of transfusion: a decade of hemovigilance in the UK. Transfus Med Rev. 2006;20:273-82. 5. Busch, MP, Kleinman SH, Nemo GJ. Current and Emerging Infectious Risks of Blood Transfusions. JAMA. 2003;289:959-62. 6. Chapman CE, Stainsby D, Jones H, et al. Ten years of hemovigilance reports of transfusion- related acute lung injury in the United Kingdom and the impact of preferential use of male donor plasma. Transfusion. 2009;49:440-52. 7. Stainsby D. ABO incompatible transfusions-experience from the UK Serious Hazards of Transfusion (SHOT) scheme Transfusions ABO incompatible. Transfus Clin Biol. 2005;12:385-8. 8. SHOT Steering Group. Serious Hazards of Transfusion . Annual Report 2003, SHOT o ce, Manchester Blood Centre, Manchester, 2003. Published 5 th July 2004. 9. Mehra T, Seifert B, Bravo-Reiter S, et al. Implementation of a patient blood management monitoring and feedback program signi cantly reduces transfusions and costs. Transfusion. 2015;55:2807-15. 10. Cabana MD, Rand CS, Powe NR, et al.Why don’t physicians follow clinical practice guidelines? A framework for improvement. JAMA. 1999;282:1458-65. 11. Norgaard A, De Lichtenberg TH, Nielsen J, Johansson PI. Monitoring compliance with transfusion guidelines in hospital departments by electronic data capture. Blood Transfus. 2014;12:509-19. 12. Resar R, Gri n FA, Haraden C, Nolan TW. Using Care Bundles to Improve Health Care Quality. IHI Innovation Series white paper. Cambridge, Massachusetts: Institute for Healthcare Improvement, 2012. Available at: http://www.ihi.org . 13. Berenholtz SM, Pronovost PJ, Lipsett PA, et al. Eliminating catheter-related bloodstream infections in the intensive care unit. Crit Care Med. 2004;32:2014-2020. 14. Pronovost P, Needham D, Berenholtz S, et al. An intervention to decrease catheter-related bloodstream infections in the ICU. N Engl J Med. 2006;355:2725-2732. 15. How-to Guide: Prevent Central Line-Associated Bloodstream Infections (CLABSI). Cambridge, MA: Institute for Healthcare Improvement, 2012. Available at: http://www.ihi.org .