Jam 07.15 wib darah dimasukan kepada pasien. Jam 07.25 wib perawat ruang kutilang
mendapat telepon dari Petugas Bank Darah yang memberi tahu bahwa darah yang
diberikan kepada Tn. Agus segera dihentikan karena ada kekeliruan dalam pemberian
darah oleh petugas bank Darah kepada keluarga pasien.
Kejadian ini pernah terjadi 4 tahun lalu, tetapi belum pernah dilakukan analisa dan
tindakan untuk mencegah kejadian yang sama terulang kembali.
2.KPC : ......................................................................................................................................................
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6. Tindakan apa yang dilakukan untuk mengatasi kondisi potensi cedera selama ini ?
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