A study on blood product usage and wastage at the public hospital, Guyana

Kurup, Rajini; Anderson, Audrey; Boston, Cecil; Burns, L.; George, Marian; Frank, Marana

doi:10.1186/s13104-016-2112-5

Cited by 37 publications

(27 citation statements)

References 11 publications

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“…However, no entire blood units were recorded in the current study since nearly all the blood donated units were processed to blood components in order to meet the regional blood requirements, which is in line with the results of previous studies in this regard. 1,18,19 Additionally, O+ was found to be the most ordered blood type and the ICU department was ranked first as having the highest volume of blood product orders. Consistently, Karami et al concluded that most of the orders were from the ICU department.…”

Section: Discussionmentioning

confidence: 99%

“…These factors include impaired blood bags, expired units, long-term storing in unsuited ambient temperature, the formation of blood clots in bags, insufficient knowledge of physicians on the blood order requirements, a request for excessive blood supplies for the possible over bleeding during the surgeries, poor blood management policies, and the lack of knowledge. 1,5 The rate of blood wastage in hospitals of the United States is reported from 0.1% to 6.7%. 10 Further, cross-matched blood units for each surgery are typically much more than the requested units thus recording the ratio of cross-matched blood to the number of transfused blood (C/T) is essential in blood transfusion facilities.…”

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confidence: 99%

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Blood Components Management: An Analysis on the Blood Transfusion Medicine in Zabol, Sistan and Baluchistan Province of Iran

Sargazi-Aval

Bazi

Shahraki

et al. 2019

Int J Basic Sci Med

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Introduction: Blood components are commonly used during surgical operations; however, limited sources are globally available in this regard. The present study aimed to assess blood product usage and wastage in Amir-Almomenin hospital, Zabol, Iran. Methods: A total of3883 ordered blood components were retrospectively analyzed in AmirAlmomenin hospital, Zabol, Iran (January) 2017-(July)2018. The data were analyzed using the SPSS software, version 18. Results: The results demonstrated that the most frequent ordered blood products included packed red blood cells (PRBCs, 2097 units, 54%), followed by fresh frozen plasma (823 units, 21.2%), platelet concentrates (757 units, 19.5%), and cryoprecipitate (206 units, 5.2%), respectively. Intensive care unit department had the highest records of orders (34.2%) and the ratio of crossmatched blood to transfused blood (C/T) was 1.73. In addition, based on the results, the total amount of component wastage was 2.03% with the highest and lowest percentage for PRBCs (59.6%) and cryoprecipitate (4.35%), respectively. The highest rate of wastage was related to the delivery ward (8.23%). There was no return from pediatrics, dialysis, pediatric critical care unit, critical care unit, and gastroenterology wards. Further, a significant difference was observed between the returned rates of D-positive and D-negative blood components with higher rates belonging to D-negative products (P=0.001). Conclusion: In general, due to the 2.03% wastage rate, there is an indispensable need regarding implementing sufficient supervision and assigning vigilant policies on the hospital-based transfusion policies in order to optimize the blood product management.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Blood Components Management: An Analysis on the Blood Transfusion Medicine in Zabol, Sistan and Baluchistan Province of Iran

Sargazi-Aval

Bazi

Shahraki

et al. 2019

Int J Basic Sci Med

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“…For example, if the Red Blood Cell units are out of their temperature storage for more than 30 minutes after shipping out, they cannot be reissue and this will lead to blood wastage. The reason for this is that once the RBC units are out of their controlled temperature storage, the blood components warms up and lead to proliferation of bacterium within that period [3]. Therefore, maintaining the medical supplies within their controlled temperature storage is very important.…”

Section: Introductionmentioning

confidence: 99%

Apps-Based Temperature Monitoring System with Location Services for Medical Needs Delivery Using Drone

Beng

Mohd

2021

Int. J. Interact. Mob. Technol.

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Traditional temperature monitoring system for blood delivery requires a USB cable to extract data after delivery has been completed. Without real-time temperature data during delivery, the quality of the products cannot be monitored efficiently. In this paper, we have designed and developed a mobile application-based temperature monitoring system for medical needs delivery. It has a mobile application to display temperature data in real-time. The system includes Arduino Uno, DHT22, DS3231, microSD card adapter and ESP8266 Wi-Fi module. The temperature and humidity data were stored in the microSD card and ThingSpeak server for further analysis. A mobile application allowed users to visualized and monitor the temperature of the payload during delivery. For the system test and evaluation purpose, the developed temperature monitoring system was placed inside a polystyrene box. The temperature and humidity data were acquired using DHT22 and Fluke t3000 fc in cold and ambient temperature for 30 minutes with a sampling time of 2 seconds in the polystyrene box. The results showed that the correlations error 0.96 and 1.00, respectively. Finally, we showed that the developed temperature monitoring system can capture and record temperature data in real-time. It is reliable and comparable to a high-end temperature monitor.

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“…Current wastage levels range from 1% to 5% in most countries but can be as high as 25% in other centres. 2,3 This is primarily due to time expiry as platelets have a shelf life of 5-7 days. Blood wastage in the setting of liver transplantation is yet to be reviewed, where there is a very high blood utilisation over a short time frame and a potential for a break in the cold chain resulting in significant wastage.…”

Section: Introductionmentioning

confidence: 99%

<p>A Single-Centre Review of Transfusion Practices and Blood Wastage in Liver Transplantation</p>

Gan¹,

Nwankiti²,

Milan³

2019

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Background: Liver transplantation is associated with massive blood loss due to a combination of coagulopathy, portal hypertension, and multiple vascular transection and anastomoses. Multiple blood transfusions over a short time frame may result in significant blood and component wastage due to over-ordering of blood products and component time expiry. Blood wastage in the setting of liver transplantation is yet to be reviewed. We reviewed transfusion practices during liver transplantation and audited blood component and product wastage. Methods: We performed a single-center retrospective review of all adult patients aged >16 years over a period of a year. A total of 181 cases were included in the review. Results: Eighty-seven percent of liver transplants were first transplants and were mainly due to chronic liver failure. Our cohort had a median blood loss of 4249 mL (IQR 2830, 6576) per transplant. Patients having redo procedures or have acute liver failure as a presenting aetiology bled significantly more. Nearly all our patients received blood products during the perioperative period. Fresh frozen plasma (FFP) was transfused in 91.2% of our cohort, followed by packed red cells (PRC, 64.2%), platelets (52.5%) and cryoprecipitates (32.0%). A total of 142 units of blood and blood product were wasted. This equates to a wastage rate of 4.6%. This is higher than the target of 3% set by our institution. Highest wastage rates were seen in FFP (8.6%), followed by PRC (2.2%), cryoprecipitates (1.0%) and platelets (0.9%). The commonest cause of wastage was "time expired". The total cost of wastage is £9800, which represents 3.3% of the total cost of blood products transfused. Conclusion: Changing blood component ordering habits, staff training, and awareness may help reduce wastage of this precious commodity.

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A study on blood product usage and wastage at the public hospital, Guyana

Cited by 37 publications

References 11 publications

Blood Components Management: An Analysis on the Blood Transfusion Medicine in Zabol, Sistan and Baluchistan Province of Iran

Blood Components Management: An Analysis on the Blood Transfusion Medicine in Zabol, Sistan and Baluchistan Province of Iran

Apps-Based Temperature Monitoring System with Location Services for Medical Needs Delivery Using Drone

<p>A Single-Centre Review of Transfusion Practices and Blood Wastage in Liver Transplantation</p>

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