All blood discard does not amount to blood wastage-A critical technical reappraisal.

IF 1.4 4区医学 Q3 HEMATOLOGY

Transfusion Medicine Pub Date : 2025-10-09 DOI:10.1111/tme.70031

Karan Kumar, Priyadarsini Jayachandran Arcot, Suchet Sachdev, Aarushi Sahni, Sangeeta Kumari, Ratti Ram Sharma

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引用次数: 0

Abstract

Background: Blood centres, as part of their routine operations, generate various forms of waste during the collection-to-transfusion continuum. However, not all discarded blood components equate to 'wastage'.

Methods: A critical technical appraisal distinguishing blood discard (necessary and regulatory-compliant) from blood wastage (preventable and avoidable) was done.

Results: We propose clear operational definitions and introduce refined metrics such as blood discard rate (BDR), blood wastage rate (BWR) and total discard rate (TDR) to ensure accurate reporting. The concept of 'all-cause blood discard' encompassing both justified discards and true wastage is emphasised.

Conclusion: Misinterpretation of data on discarding as wastage by technical personnel, policymakers, media and the public at large can lead to a trust deficit in transfusion services. Adoption of these distinctions and metrics will improve transparency, resource management and public confidence in blood services.

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所有的血液丢弃不等于血液浪费——一项关键的技术重新评估。

背景：血液中心作为其日常操作的一部分，在采集到输血的连续过程中产生各种形式的废物。然而，并非所有丢弃的血液成分都等同于“浪费”。方法：对血液浪费（可预防和可避免）和血液丢弃（必要的和符合法规的）进行关键的技术鉴定。结果：我们提出了明确的操作定义，并引入了血液丢弃率（BDR）、血液浪费率（BWR）和总丢弃率（TDR）等改进指标，以确保准确报告。强调了“全因血液丢弃”的概念，包括合理丢弃和真正浪费。结论：技术人员、政策制定者、媒体和广大公众将丢弃数据误解为浪费可能导致输血服务中的信任赤字。采用这些区分和衡量标准将提高透明度、资源管理和公众对血液服务的信心。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Transfusion Medicine 医学-血液学

CiteScore

2.70

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Transfusion Medicine publishes articles on transfusion medicine in its widest context, including blood transfusion practice (blood procurement, pharmaceutical, clinical, scientific, computing and documentary aspects), immunohaematology, immunogenetics, histocompatibility, medico-legal applications, and related molecular biology and biotechnology. In addition to original articles, which may include brief communications and case reports, the journal contains a regular educational section (based on invited reviews and state-of-the-art reports), technical section (including quality assurance and current practice guidelines), leading articles, letters to the editor, occasional historical articles and signed book reviews. Some lectures from Society meetings that are likely to be of general interest to readers of the Journal may be published at the discretion of the Editor and subject to the availability of space in the Journal.