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January 13, 1975

Transfusions at Night

Author Affiliations

Veterans Administration Hospital Sepulveda, Calif

JAMA. 1975;231(2):135-136. doi:10.1001/jama.1975.03240140009007

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To the Editor.—  Concern for effective and safe use of blood products in this country has led to the present activities in formation of an American Blood Commission.In the interim period, until the American Blood Commission becomes fully operational and resultant benefits become realized by the American public, the medical profession can take a simple action to increase safety substantially in transfusion of blood products. That is strictly to limit transfusion of blood products to daytime periods, except for the relatively small number of transfusions that are critically needed to sustain life.This is a small detail in scheduling of orders for patients that probably escapes attention of most physicians. Evening and night staffing of most hospital nursing units is substantially lower than day shifts. This means that patients receiving blood products during evening or night hours are often poorly observed and somtimes not observed at all. Thus, detection