Analysis of Blood and Blood Component Wastage and its Reasons among Various Departments in a Tertiary Care Teaching Hospital in Southern India

C. Ravikanth, B. Babu, R. Arun, K. Babu
{"title":"Analysis of Blood and Blood Component Wastage and its Reasons among Various Departments in a Tertiary Care Teaching Hospital in Southern India","authors":"C. Ravikanth, B. Babu, R. Arun, K. Babu","doi":"10.7860/njlm/2022/51736.2606","DOIUrl":null,"url":null,"abstract":"Introduction: The main aim of many blood centers are to supply sufficient amount of safe blood and blood components whenever required. Shortage of blood may be due to low donation rate, inadequate storage, improper transportation and wastage at ward side. Wastage of blood can have a negative impact on blood transfusion services. Aim: To determine the rates of wastage of blood and blood components units at the ward side and identify the various reasons for wastage and explain the strategies to reduce the wastage rate. Materials and Methods: This retrospective study was conducted in the Department of Transfusion Medicine, Sri Venkateswara Institute of Medical Sciences, Tirupati, Andhra Pradesh, India from January 2018 to December 2020. The data was collected from the blood centre record. All blood and blood components issued during the study period were included in the study. The number, type and blood group of blood and blood components issued, the number of blood units wasted after issue, and the reason for wastage was collected. The collected data were entered in Microsoft excel and analysed using Statistical Package for the Social Science (SPSS) version 21.0. Descriptive statistics were performed as necessary. Results: During the study period, a total of 69198 units of blood and blood components were issued to different wards and operation theatres in the hospital. Among the total issues, 26863 (38.82%) were in the form of Packed Red Blood Cells (PRBC), 3968 (5.73%) in the form of Whole Blood (WB), 26069 (37.67%) in the form of Fresh Frozen Plasma (FFP), 11272 (16.29%) in the form of Random Donor Platelets (RDP), 933 (1.35%) in the form of Cryoprecipitate (CP) and 93 (0.13%) in the form of Single Donor Platelets (SDP). Among issued, 115 (0.17%) of blood and blood components were wasted with packed red cells accounting for 51 (44.35%). Among the various reasons, 43 (37.39%) was due to demise of patients before transfusion was initiated, followed by non requirement by the patients due to no loss/minimal loss blood during surgery 24 (20.87%). Majority of blood and blood components were wasted by the Department of Emergency Medicine (EMD) 36 (31.3%) followed by the Department of Neurology 20 (17.39%) and Orthopaedics 12 (10.43%). Conclusion: Implementation of proper blood transfusion policies and continuous educational programs in coordination with clinicians and staff nurses at ward side and operation theatres will help to decrease the blood wastage at ward side.","PeriodicalId":31115,"journal":{"name":"National Journal of Laboratory Medicine","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"National Journal of Laboratory Medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.7860/njlm/2022/51736.2606","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

Abstract

Introduction: The main aim of many blood centers are to supply sufficient amount of safe blood and blood components whenever required. Shortage of blood may be due to low donation rate, inadequate storage, improper transportation and wastage at ward side. Wastage of blood can have a negative impact on blood transfusion services. Aim: To determine the rates of wastage of blood and blood components units at the ward side and identify the various reasons for wastage and explain the strategies to reduce the wastage rate. Materials and Methods: This retrospective study was conducted in the Department of Transfusion Medicine, Sri Venkateswara Institute of Medical Sciences, Tirupati, Andhra Pradesh, India from January 2018 to December 2020. The data was collected from the blood centre record. All blood and blood components issued during the study period were included in the study. The number, type and blood group of blood and blood components issued, the number of blood units wasted after issue, and the reason for wastage was collected. The collected data were entered in Microsoft excel and analysed using Statistical Package for the Social Science (SPSS) version 21.0. Descriptive statistics were performed as necessary. Results: During the study period, a total of 69198 units of blood and blood components were issued to different wards and operation theatres in the hospital. Among the total issues, 26863 (38.82%) were in the form of Packed Red Blood Cells (PRBC), 3968 (5.73%) in the form of Whole Blood (WB), 26069 (37.67%) in the form of Fresh Frozen Plasma (FFP), 11272 (16.29%) in the form of Random Donor Platelets (RDP), 933 (1.35%) in the form of Cryoprecipitate (CP) and 93 (0.13%) in the form of Single Donor Platelets (SDP). Among issued, 115 (0.17%) of blood and blood components were wasted with packed red cells accounting for 51 (44.35%). Among the various reasons, 43 (37.39%) was due to demise of patients before transfusion was initiated, followed by non requirement by the patients due to no loss/minimal loss blood during surgery 24 (20.87%). Majority of blood and blood components were wasted by the Department of Emergency Medicine (EMD) 36 (31.3%) followed by the Department of Neurology 20 (17.39%) and Orthopaedics 12 (10.43%). Conclusion: Implementation of proper blood transfusion policies and continuous educational programs in coordination with clinicians and staff nurses at ward side and operation theatres will help to decrease the blood wastage at ward side.
印度南部某三级教学医院各科室血液及血液成分浪费分析及原因分析
许多血液中心的主要目的是在需要时提供足够的安全血液和血液成分。血液短缺可能是由于献血率低、储存不足、运输不当和病区浪费所致。血液浪费可能对输血服务产生负面影响。目的:了解病区血液及血液成分单位的流失率,找出造成流失率的各种原因,并阐述降低流失率的对策。材料与方法:本回顾性研究于2018年1月至2020年12月在印度安得拉邦蒂鲁帕蒂Sri Venkateswara医学科学研究所输血医学系进行。数据是从血液中心的记录中收集的。研究期间发放的所有血液和血液成分均纳入研究。收集发放的血液和血液成分的数量、类型和血型,发放后浪费的血液单位数,浪费的原因。收集的数据在Microsoft excel中输入,并使用社会科学统计软件包(SPSS) 21.0版进行分析。必要时进行描述性统计。结果:研究期间,共向医院各病房、手术室发放血液及血液成分69198份。其中,包装红细胞(PRBC) 26863份(38.82%),全血(WB) 3968份(5.73%),新鲜冷冻血浆(FFP) 26069份(37.67%),随机供血小板(RDP) 11272份(16.29%),冷冻沉淀(CP) 933份(1.35%),单供血小板(SDP) 93份(0.13%)。其中,血液及血液成分浪费115份(0.17%),其中红细胞堆积51份(44.35%)。在各种原因中,43例(37.39%)是由于患者在开始输血前死亡,其次是患者因术中无失血量或失血量最小而不需要输血24例(20.87%)。浪费最多的是急诊科(EMD) 36例(31.3%),其次是神经内科(17.39%)和骨科(10.43%)。结论:实施正确的输血政策,并与病区及手术室的临床医生和护士协调开展持续的教育项目,有助于减少病区的血液浪费。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
自引率
0.00%
发文量
71
审稿时长
12 weeks
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信