The impact of an electronic ordering system on blood bank specimen rejection rates

Stefanie K. Forest*, Maryam Shirazi, Charlotte Wu-Gall, Brie A. Stotler

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

6 Scopus citations


Objectives: To evaluate the impact that an electronic ordering system has on the rate of rejection of blood type and screen testing samples and the impact on the number of ABO blood-type discrepancies over a 4-year period. Methods: An electronic ordering system was implemented in May 2011. Rejection rates along with reasons for rejection were tracked between January 2010 and December 2013. Results: A total of 40,104 blood samples were received during this period, of which 706 (1.8%) were rejected for the following reasons: 382 (54.0%) unsigned samples, 235 (33.0%) mislabeled samples, 57 (8.0%) unsigned requisitions, 18 (2.5%) incorrect tubes, and 14 (1.9%) ABO discrepancies. Of the samples, 2.5% were rejected in the year prior to implementing the electronic ordering system compared with 1.2% in the year following implementation (P<.0001). Conclusions: Our data demonstrate that implementation of an electronic ordering system significantly decreased the rate of blood sample rejection.

Original languageEnglish (US)
Pages (from-to)105-109
Number of pages5
JournalAmerican journal of clinical pathology
Issue number1
StatePublished - 2017


  • Barcode
  • Blood transfusion
  • Electronic order
  • Medical errors/prevention and control
  • Wrong blood in tube

ASJC Scopus subject areas

  • Pathology and Forensic Medicine


Dive into the research topics of 'The impact of an electronic ordering system on blood bank specimen rejection rates'. Together they form a unique fingerprint.

Cite this