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Case Report 
RMJ. 2025; 50(1): 259-251


Toward an error-free reporting system: a case report

Sajjan Iqbal Memon, Hafsa Syed, Kinza Amin, Arsalan Younas, Gulzar Usman.


Abstract
Wrong patient identification (WPI) is a critical patient safety issue with potentially life-threatening consequences, such as incorrect blood groupings. This case report examines the use of corrective and preventive action (CAPA) to enhance WPI incident reporting. It emphasizes the importance of structured reporting, risk management, and fostering a culture of learning from errors.

A 30-year-old woman was admitted to a tertiary care hospital in Hyderabad, Pakistan. Her blood group was “AB-Positive” in 2019 but changed to “B-Positive” in 2023 owing to many people using the same MR card. Even though there were no immediate solutions, we implemented CNIC verification, patient education, and staff attention to prevent recurrence. This report emphasizes the necessity for strong patient identification processes, staff training and diagnostic and transfusion errors prevention.

Key words: Health care, patient identification, blood group discrepancy, patient safety, quality improvement, CAPA methodology.


 
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How to Cite this Article
Pubmed Style

Memon SI, Syed H, Amin K, Younas A, Usman G. Toward an error-free reporting system: a case report. RMJ. 2025; 50(1): 259-251.

Web Style

Memon SI, Syed H, Amin K, Younas A, Usman G. Toward an error-free reporting system: a case report. https://www.rmj.org.pk/?mno=229363 [Access: March 12, 2025].

AMA (American Medical Association) Style

Memon SI, Syed H, Amin K, Younas A, Usman G. Toward an error-free reporting system: a case report. RMJ. 2025; 50(1): 259-251.


Vancouver/ICMJE Style

Memon SI, Syed H, Amin K, Younas A, Usman G. Toward an error-free reporting system: a case report. RMJ. (2025), [cited March 12, 2025]; 50(1): 259-251.


Harvard Style

Memon, S. I., Syed, . H., Amin, . K., Younas, . A. & Usman, . G. (2025) Toward an error-free reporting system: a case report. RMJ, 50 (1), 259-251.


Turabian Style

Memon, Sajjan Iqbal, Hafsa Syed, Kinza Amin, Arsalan Younas, and Gulzar Usman. 2025. Toward an error-free reporting system: a case report. Rawal Medical Journal, 50 (1), 259-251.


Chicago Style

Memon, Sajjan Iqbal, Hafsa Syed, Kinza Amin, Arsalan Younas, and Gulzar Usman. "Toward an error-free reporting system: a case report." Rawal Medical Journal 50 (2025), 259-251.


MLA (The Modern Language Association) Style

Memon, Sajjan Iqbal, Hafsa Syed, Kinza Amin, Arsalan Younas, and Gulzar Usman. "Toward an error-free reporting system: a case report." Rawal Medical Journal 50.1 (2025), 259-251. Print.


APA (American Psychological Association) Style

Memon, S. I., Syed, . H., Amin, . K., Younas, . A. & Usman, . G. (2025) Toward an error-free reporting system: a case report. Rawal Medical Journal, 50 (1), 259-251.


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