Printer Malfunction and Staff Miscommunication Led to Wrong Blood Transfusion at Janio Hospital

A 62-year-old woman remains in serious but stable condition after suffering multiple cerebral incidents due to a wrong blood transfusion at Janio Hospital. The incident has now been handed over to the family, who are emphasizing eight critical points indicating violations of blood transfusion protocols and medical equipment failures. Initially admitted for a mild neurological issue, the woman’s life was put at risk due to a broken printer and miscommunication among hospital staff. Specifically, the incorrect transfusion was performed by a 30-year-old assistant not supervised by any doctor or senior nurse, as required by protocol, according to the family’s lawyer. Information from ERT reveals that neither the patients nor the woman herself had wristbands detailing their information and care instructions. This was due to a malfunctioning printer on the fifth floor of the neurology clinic, preventing staff from distributing wristbands. Additionally, night shift nurses failed to communicate properly, causing confusion for the next shift. For 45 minutes, the woman remained unattended with no supervision while receiving the blood transfusion until another patient’s companion noticed her deteriorating condition and alerted the 30-year-old nursing assistant and doctors, who rushed to save her life. Initial analysis suggests the medical error stemmed from staff exhaustion, though later findings indicate shifts were conducted normally.