Abstract

To make the most of the blood products, we have introduced maximum blood order schedule (MSBOS) and Type and Screen (T & S) into Nagahama City Hospital. By investigating the transfused blood products according to major surgical procedures of last 2 years, we set up MSBOS and the procedure of blood preparations for elective surgery in our hospital.As a result of one year's experience, the cross-match to transfusion ratio (C/T ratio) in many surgical procedures and that of red cell products in our hospital have decreased, and the effective use of red cell products has elevated.However, because our hospital dose not have the blood products in deposit system and we can not return the products, it was impossible to decrease the out-date.

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