Agglutination occurs when incompatible blood types are mixed, causing blood cells to clump, which can lead to serious medical conditions like kidney failure and death. Antigens on blood cells trigger antibodies to react, making careful blood transfusion procedures essential to avoid errors, which occur in about one in 12,000 cases. Dr. Gary Cecchi, the author, is an experienced hematologist with a background in hematology and oncology.