When and why is blood crossmatched?

Tinegate, Hazel; Davies, TD; Elshaw, Robert; Jane, G.; Lyon, Marc; Norfolk, D. R.; Plews, Dianne; Troy, C. B.; Watson, Douglas

doi:10.1111/j.1423-0410.2010.01317.x

Cited by 7 publications

(3 citation statements)

References 4 publications

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“…A prospective study in the North of England found that only 25% of the blood demands were marked as urgent (required within 1 h). [7]…”

Section: Discussionmentioning

confidence: 99%

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Turnaround time for red blood cell transfusion in the hospitalized patient: A single-center “Blood Ordering, Requisitioning, Blood Bank, Issue (of Blood), and Transfusion Delay” study

Agnihotri¹,

Agnihotri²

2018

Indian Journal of Critical Care Medicine

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Background and Aim:The turnaround time (TAT) for blood transfusion (BT) is an important quality indicator for the health-care institutions undertaking this procedure. There is no established national or international benchmark for this TAT due to the dearth of a published literature. We thus studied the TAT and the contributory procedures leading to delay in commencing a red blood cell transfusion in the hospitalized patient.Materials and Methods:Delay was captured for the blood order transcription, requisitioning and sampling by the nurse, blood bank (BB) processing, blood issue, and the transfusion commencement in the hospitalized patients. The study was done prospectively over a 1-year period and involved all the patient locations spread over six floors in a tertiary care accredited hospital.Results:A total of 2022 blood requests were analyzed during the study period. Most (73%) of the blood requests were marked as urgent by the treating unit. The average time from ordering to initiation of BT was 135 min in our study. BB processes (compatibility testing and issue) comprised approximately 47% of this delay (63 min), while rest of the delay happened in the processes (ordering 13 min, sample transport 34 min, and BT commencement 25 min) outside the BB (72 min).Conclusion:Majority of the delay for blood transfusion happens due to the processes outside blood bank premises. Understanding the steps where delay happens has the potential to reduce the turnaround time for lifesaving procedures such as blood transfusion in the hospitalized patients.

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“…A prospective study in the North of England found that only 25% of the blood demands were marked as urgent (required within 1 h). [7]…”

Section: Discussionmentioning

confidence: 99%

“…This TS policy thus decreases the processing time in BB when an actual BT is needed. [7] Showing the advantages of TS policy vis-à-vis TXm policy, Aggarwal et al . demonstrated that the TAT could be significantly reduced by such an implementation in the Indian context also.…”

Section: Discussionmentioning

confidence: 99%

Turnaround time for red blood cell transfusion in the hospitalized patient: A single-center “Blood Ordering, Requisitioning, Blood Bank, Issue (of Blood), and Transfusion Delay” study

Agnihotri¹,

Agnihotri²

2018

Indian Journal of Critical Care Medicine

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“…ABO/Rh type and screening is performed to prevent transfusion complications from incompatibility and other irregular antibodies [1] Preoperative ABO/Rh type and screening is often routinely performed in patients scheduled to undergo elective surgery with a potential need of transfusion [2,3].…”

Section: Introductionmentioning

confidence: 99%

The Utility of ABO Testing in Pediatric Patients Undergoing Elective Surgery

Kim

Ahn

Chung

et al. 2019

JCM

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Background: Patients for elective operation often undergo routine ABO/Rh type and screening test for potential need of transfusion. Some institutions require double verification of ABO/Rh type. We evaluated the clinical practice pattern of performing ABO/Rh type and screening test in pediatric patients undergoing elective operation. Methods: Electronic medical records from pediatric patients who underwent elective surgery between June 2006 and June 2010 were retrieved. The frequency of ABO/Rh type and screening test and the incidence of packed red blood cell (pRBC) request and pRBC dispatch from the blood bank among those tested were analyzed by year and the surgical department. Results: Of the 23,631 patients, the incidence of ABO/Rh type and screening was 32.2%, and pRBC was dispatched in 37.9% of these patients. The incidence of ABO/Rh type and screening varied between 1.5% and 97.9% among surgical departments and also within the surgical departments depending on the type of surgery. The incidence of ABO/Rh type and screening showed a decreasing trend over the study period. Conclusions: There was significant variability among and within the surgical departments in the incidence of ABO/Rh type and screening in children undergoing elective surgery. A tailored approach may be beneficial to the patient in terms of comfort and cost.

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After Hour Blood Transfusions: A Transfusion Service Perspective

Kandasamy

Shastry

Mohan

et al. 2018

Indian J Hematol Blood Transfus

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Optimal functioning of blood transfusion service during after hours with limited resources are highly challenging. Best transfusion practice guidelines recommends to avoid non-urgent transfusions during out-of-core hours for the concern of patient's safety. This study aimed to evaluate the after hour packed red cell transfusion practice and to identify the proportion of avoidable transfusions in our center. The transfusion requests received, cross-matched and issued between 8 p.m. and 8 a.m. from September 2015 to August 2016 were analysed and categorized into 3E's based on the clinical need as Group I-evident need, Group 2-empirical need and Group 3-elective need. The proportion of avoidable transfusion in each group was noted based on BCSH guidelines on red cell transfusion including the patient's clinical, laboratory parameters and transfusion details. The proportion of PRBC requests received, crossmatched and issued between 8 p.m. and 8 a.m. were 24.45%, 23.84% and 27.15% respectively. The rationale for PRBC transfusion documented for evident, empirical and elective need were 56.95%, 29.34% and 13.71% respectively. Out of which, 19.21% [876/4559] was identified as avoidable transfusions providing no immediate clinical benefit to patients. This study highlights the proportion of avoidable transfusion during after hours in our center and emphasizes the need for transfusion guidelines that recommends to restrict after hour transfusions to those patients with active bleeding or urgent clinical need in order to prevent transfusion related adverse events and improve patient safety.

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When and why is blood crossmatched?

Cited by 7 publications

References 4 publications

Turnaround time for red blood cell transfusion in the hospitalized patient: A single-center “Blood Ordering, Requisitioning, Blood Bank, Issue (of Blood), and Transfusion Delay” study

Turnaround time for red blood cell transfusion in the hospitalized patient: A single-center “Blood Ordering, Requisitioning, Blood Bank, Issue (of Blood), and Transfusion Delay” study

The Utility of ABO Testing in Pediatric Patients Undergoing Elective Surgery

After Hour Blood Transfusions: A Transfusion Service Perspective

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