Safety issues related to the electronic cross-matching of blood in mainland China

Wang, Yuanjie; Jiarui, Liu; Liu, Yong

doi:10.1097/md.0000000000016703

Cited by 1 publication

(2 citation statements)

References 10 publications

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“…While all centers follow the same general recommendations, the timing is different. To be eligible for EXM, the patient must have at least two separate blood samples where ABO/Rh tests were performed, a negative antibody screen, and no previously positive antibody screening test [31][32][33]. Patients with confirmed or suspected red cell alloantibodies, newborns, and recipients of ABO-incompatible hematopoietic stem cells are excluded from EXM [31][32][33].…”

Section: Plos Onementioning

confidence: 99%

“…It was found to reduce the workload in the lab, the number of blood components transferred to the ward, and the number of unused units [30,31]. Compared to standard serological crossmatching, EXM offers several advantages, including a short processing time, low cost, and ease of use [32]. Surgeons believe that the advantages include promptness and a practically limitless supply of blood.…”

Section: Plos Onementioning

confidence: 99%

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Blood utilization and quality indicators at a university hospital in the Eastern Province of Saudi Arabia

et al. 2022

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Background Blood transfusion is a common, essential procedure when treating many different medical and surgical conditions. Efficient utilization of blood bank facilities by frequent auditing is crucial; however, few studies have examined blood utilization in Saudi Arabia. We aimed to review the blood ordering patterns and transfusion practices, and blood bank audit effectiveness at a single center in Saudi Arabia and compare our results with those of a similar study performed in the same center 20 years ago. Materials and methods This study was a retrospective descriptive chart review of all healthy blood donors and recipients from January 1, 2016, to December 31, 2020. We evaluated the crossmatching-to-transfusion ratio (C/T) as an indicator of blood bank utilization and compared the findings with those of the previous study. We also evaluated changes in blood bank utilization during the coronavirus disease 2019 pandemic. Results Findings from 27,414 donors (men, 94.9%; mean age, 32.2 + 9.6 years) showed a 71% increase in blood donations compared to that of 2000. The donations gradually increased over the years, peaking just before COVID-19 pandemic started in March 2020. For 3,836 patients, 13,324 units of blood were crossmatched (average, 3.47 crossmatch/patient), with 23% of the crossmatch requests from surgical departments. The average C/T ratio, transfusion index, and transfusion probability (T%) were 1.37, 2.55, and 73.2%, respectively. The C/T ratio decreased by 54% between 2000 and 2020. During the pandemic, crossmatching decreased by 26% between 2019 and 2020, but with comparable C/T ratio in 2019 (1.45) and 2020 (1.39). Conclusion Our hospital blood bank utilization improved over the past 20 years, showing increased donations, reduced C/T ratio, and increased T%. This improvement emphasizes the importance of blood donation campaigns, blood bank auditing, restrictive transfusion guidelines, and physician education.

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