Optimization of blood transfusion services: Analysis of blood requisition and utilization practices in cardiac surgical patients in a tertiary care hospital, India

Mangwana, Sadhana; Bedi, Neha; Yadav, Pinky; Chugh, Rakesh

doi:10.4103/2468-8398.202713

Cited by 9 publications

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“…This widespread need has created a growing demand for blood units; however, not all blood units are pre-emptively ordered for surgery are utilized. 2 The costs of typing, antibody identification and crossmatching also contribute to the direct expenses of blood banks, especially when the blood is not transfused. 5 Since 1967, different policies and low cost measures have been used to improve the cost-effectiveness of blood transfusions.…”

Section: Discussionmentioning

confidence: 99%

“… 1 One cause of this is excessive preoperative ordering of blood components; such as blood units for patients undergoing surgical operations. 2 This can lead to shortages in blood bank inventories, waste of reagents, and therefore financial burdens on transfusion services. 3 - 5 Additionally, a stock of reserved crossmatched units are held on standby for a period of time, after which they may expire and be discarded, further increasing the waste.…”

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Enhancing the utilization of packed red blood cells stock in maternity hospitals

Bawazir

Dakkam

2020

SMJ

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Objectives: To assess and enhance the efficiency of transfusion services in maternity hospitals. Methods: A case control study was conducted from January to December 2016. A corrective policy of replacing preoperative type and hold step with blood transfusion request (BTR) hold was used only on healthy patients undergoing elective cesarean sections (c-section). The crossmatch/transfusion (C:T) ratio and a cost comparison were the evaluating factors. Data were analyzed using an Excel spreadsheet and SPSS statistical software. Results: A total of 1,200 BTRs were analyzed, comprising 659 before implementation of the corrective policy and 541 blood transfusion requests after implementation of the corrective policy. From January to March, the C:T ratio of c-sections was nearly 7 times the American Association of Blood Banks recommended limit of 2.5. Most of the blood units (94%) were damaged due to repeated booking. After implementation, the cost-effectiveness of erythrocyte transfusion was greatly enhanced as all the ordered blood units were used and the C:T ratio was reduced to the ideal limit of one. The number of destroyed units was drastically decreased from 450 units to zero; as a result, 83% of the transfusion costs were saved. Conclusion: The policy enhances the cost-effectiveness of erythrocyte transfusion and laboratory testing, and saves on additional, unnecessary costs.

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Section: Discussionmentioning

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Enhancing the utilization of packed red blood cells stock in maternity hospitals

Bawazir

Dakkam

2020

SMJ

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“…Type and crossmatch leads to the blood to be unavailable for the emergency patients for at least 48-72 hours. 1 This causes increased worked load on the technicians, reagent wastage, and added financial burden on the patient undergoing elective surgery. [1] Increasing demand for blood and blood products together with rising cost and transfusion associated morbidity led to a number of studies that blood ordering and transfusion review.…”

Section: Introductionmentioning

confidence: 99%

“…1 This causes increased worked load on the technicians, reagent wastage, and added financial burden on the patient undergoing elective surgery. [1] Increasing demand for blood and blood products together with rising cost and transfusion associated morbidity led to a number of studies that blood ordering and transfusion review. 2,3 Blood transfusion services should have important tasks to include continuous monitoring and improvement of blood transfusion safety as well as setting guidelines and policies aimed at efficient use of blood products.…”

Section: Introductionmentioning

confidence: 99%

Analysis of Blood Request Form and Blood Utilization Pattern in a Tertiary Care Specialized Hospital

Quader¹,

Islam²

2022

Bangla J Med

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Background: The growing demands for blood products are vital resources to health care facilities. If requested blood is not transfused, this causes blood wastage. Minimal utilization of requested blood squanders technical time, reagent and imposes extra expenses on patients. This study was conducted to evaluate blood requisition and utilization pattern in a tertiary care hospital. Methods: This retrospective study was conductedin the transfusion medicine dept. of a tertiary care specialized hospital from1 January 2017 to 31 December 2020. Blood request forms were reviewed and blood utilization indices were computed from blood bank registries. Blood utilization was calculated determining cross match to transfusion ratio (C:T), transfusion probability (%T), transfusion index (TI) and non-utilization pattern i.e. wastage. Results: A total of 9,841 recipients were requested to prepare cross match. A total of 13,965 units of blood were cross matched and among these 10316 units were transfused to 9,291 recipients. The overall C:T, %T, and TI were 1.35, 94.41% and 1.05 respectively. The wastage implying in this study was 26.13%. Conclusion: The overallblood utilization was encouraging, but excessive cross matching with minimal transfusion practice was observed implying wastage of blood. Blood transfusion services should adopt blood conserving policies. Bangladesh J Medicine 2022; 33: 259-262

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Patient blood management: Need of the hour

Mangwana¹

2018

Int J Blood Transfus Immunohematol

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Blood and blood products are the most precious resources to any healthcare institution. Judicious use of these limited resources is necessary and significant to preserve adequate supply [1]. Blood and blood components transfusion play a vital role in clinical care. Blood transfusion can be lifesaving but despite advances in safety of blood supply, allogenic blood transfusions carry inherent risks and are associated with poor patient outcomes including bacterial infections, transfusion transmitted infections, increased length of stay, prolonged morbidity and mortality. Avoiding or minimizing transfusion leads to fewer donor exposures, fewer transfusion reactions and lowering treatment cost. Patient blood management (PBM) is an evidenced-based, multidisciplinary approach to optimize patient's care that might need transfusion. The goal of patient blood management is to introduce strategies to prevent patients from needing a transfusion and to improve outcomes by blood transfusions. Patient blood management encompasses all aspects of patient evaluation and clinical management surrounding the transfusion decisionmaking process including optimization of patient red blood cell volume, application of appropriate indications and minimizing blood loss [2]. Several organizations have focused on patient blood management and various national bodies like AABB and The Society for the Advancement for Blood Management (SABM) have drafted patient blood management guidelines and Patient Blood Management program standards [3]. AABB standards for patient blood management has designated patient blood management program as an activity level 1, 2, or 3 while The Society Sadhana Mangwana Affiliation: M.D., MBA (HCS), Academic Position in the Department, Sr. Consultant and Head,

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Optimization of blood transfusion services: Analysis of blood requisition and utilization practices in cardiac surgical patients in a tertiary care hospital, India

Cited by 9 publications

References 1 publication

Enhancing the utilization of packed red blood cells stock in maternity hospitals

Enhancing the utilization of packed red blood cells stock in maternity hospitals

Analysis of Blood Request Form and Blood Utilization Pattern in a Tertiary Care Specialized Hospital

Patient blood management: Need of the hour

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