Use of Maximum Surgical Order Schedule (MSBOS) among pediatric patients to optimize blood utilization

Guzman, Johann Paulo S.; Resurreccion, Leandro L.; Gepte, Maria Beatriz P.

doi:10.1186/s43159-019-0005-9

Cited by 12 publications

(10 citation statements)

References 11 publications

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“…The average of the actual transfused RBC units per surgery, i.e., the transfusion index, is one of the most commonly adopted factors [13][14][15][16][17], which is used widely in blood banks in South Korea [2][3][4][5][6][7][8][9]. Many studies recommended and adopted the type and screen for cases with TI＜0.5 [16,18,19]. This study used the criterion TI≥0.5 to seek relevant changes in MSBOS.…”

Section: Discussionmentioning

confidence: 99%

Necessity for Regular Updates of the Maximum Surgical Blood Order Schedule (MSBOS)

Kim

Shin

et al. 2022

Korean J Blood Transfus

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Background: The maximum surgical blood order schedule (MSBOS) is a list of surgical procedures with the corresponding recommended number of blood units. Nevertheless, with the advances in surgery and transfusion medicine, a need for updates in the MSBOS has been suggested. This study evaluated the need for regular revision of the MSBOS. Methods: The surgical procedures performed between August 2016 and July 2021 were investigated retrospectively. The transfused blood units for each type of surgery were analyzed in elective, single surgeries performed more than ten times per year. The Transfusion index (TI) and the Transfusion probability (TP) for each type of operation were calculated in five one-year intervals. Furthermore, the surgeries performed more than 10 times in all one-year intervals and presented a TI≥0.5 at least once during the study period were subjected to further analysis. Results: A total of 96,040 elective surgical procedures were performed during the five-year study period, including 77,639 single surgeries performed ≥10 times in one year. The average transfused blood units and the average TP per year decreased over time. In addition, the percentage of the number and type of operations presenting TI≥0.5 changed. Among the 27 surgeries that were further studied, six showed constant TI≥0.5; six changed from TI≥0.5 to ＜0.5, and 15 displayed fluctuations in TI. Conclusion: Changes in surgical blood utilization was observed among one-year periods, which implies the need for regular revision of MSBOS.

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Section: Discussionmentioning

confidence: 99%

Necessity for Regular Updates of the Maximum Surgical Blood Order Schedule (MSBOS)

Kim

Shin

et al. 2022

Korean J Blood Transfus

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“…This suggests a significant portion of blood utilization is attributed to elective surgeries, 17 which is somewhat unexpected given that transfusion requirements are higher in non‐ESP compared to ESP 18,19 . Despite the implementation of a maximal surgical blood order schedule to improve the efficiency of blood ordering practices for ESP, 20 crossmatch‐to‐transfusion ratios remain high and/or blood is underutilized 21,22 . Respondents were not asked to identify surgeries that were impacted explicitly.…”

Section: Discussionmentioning

confidence: 99%

Hospital transfusion service operations during the SARS‐CoV‐2 pandemic: Lessons learned from the AABB hospital survey in preparation for the next infectious disease outbreak

et al. 2021

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Background The SARS‐CoV‐2 pandemic disrupted hospital operations, affected the blood supply, and challenged the health care system to develop new therapeutic options, including convalescent plasma (CCP). The aim of this study is to describe and analyze blood supply fluctuations and the use of convalescent plasma in 2020. Methods AABB distributed a weekly and biweekly questionnaire through email to hospital‐based members (HBM). Results The survey was sent to 887 HBM with 479 unique respondents, most of the hospitals served pediatric and adult patients, and all states of the country participated, except Idaho and Vermont. Fifty four percent of HBM reported increased wastage in the early phase of the pandemic (May), which decreased to 4% by the end of June and throughout the rest of the year. The majority of HBM reported receiving alerts from their blood suppliers reporting blood shortages throughout the year. During March and April, only 12% of HBM were performing elective surgical procedures. The top reasons to delay procedures were: bed availability (28%); COVID‐19 caseload (23%; and blood availability (19%). By mid‐April, 42% HBM had transfused CCP and reported >24 h delay in getting the units; the vast majority obtained CCP using the Expanded Access Protocol, and later, the Emergency Use Authorization. HBM consistently prioritized the most severe patients to receive CCP, but the proportion of severely ill recipients fell from 52% to 37% between May and October, with an increase from 5% to 21% of HBM providing CCP transfusion early in the course of the disease. Discussion Blood utilization and availability fluctuated during the pandemic. The fluctuations appeared to be related to the number of COVID‐19 in the community. The use and regulatory landscape of CCP rapidly evolved over the first 8 months of the pandemic.

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“…This study revealed that for the given period in this post-neonatal ward the average transfusion probability was 100%. Accordingly, a value of 30% and above has been suggested to be appropriate and signies the appropriateness of number of 5,8,20 units' cross matched.…”

Section: Discussionmentioning

confidence: 99%

A Review of Blood and Blood Products Requisition and Utilization in Post-neonatal Ward of a Tertiary Hospital in South Western Nigeria

2021

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Background: Blood and its products ordering is a common practice in paediatrics. The ready availability of blood and blood components has resulted in liberal use. Inappropriate use of blood and blood products exposes patients to the risk of transfusion transmissible diseases and allergic and haemolytic reactions. Objective: To assess blood and blood products requisition and utilization in a post-neonatal ward in a semi-urban tertiary hospital in Nigeria Methods: Retrospective analysis of medical records of all transfused post-neonatal patients during the study period from 1st July 2015 to¬ 31st December 2016 to calculate the cross-match to transfusion ratio, transfusion probability and transfusion index. Results: The units of blood cross-matched were 98 and 90 blood units transfused. The cross-match to transfusion ratio was 1.09 indicative of significant blood usage. The transfusion probability was 100% indicative of significant blood usage. The transfusion index was 1.10 indicative of significant blood utilization. Conclusion: Transfusion of blood and blood products in the post-neonatal ward of our setting meet the standard criteria for quality indicators for blood utilization.

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Use of Maximum Surgical Order Schedule (MSBOS) among pediatric patients to optimize blood utilization

Cited by 12 publications

References 11 publications

Necessity for Regular Updates of the Maximum Surgical Blood Order Schedule (MSBOS)

Necessity for Regular Updates of the Maximum Surgical Blood Order Schedule (MSBOS)

Hospital transfusion service operations during the SARS‐CoV‐2 pandemic: Lessons learned from the AABB hospital survey in preparation for the next infectious disease outbreak

A Review of Blood and Blood Products Requisition and Utilization in Post-neonatal Ward of a Tertiary Hospital in South Western Nigeria

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