Abstract
BackgroundAn adequate supply of quality blood products is the backbone of any hospital. To maintain it, the utilization and wastage of the products should be closely monitored.ObjectiveTo determine the crossmatch to transfusion (C/T) ratio, transfusion probability (%T), and transfusion index (Ti) of packed red blood cells and to review the use of platelets.Materials and methodsA total of 6,326 hematological patients receiving packed red blood cells were included in the study. The random donor platelets that were prepared during this period were also included to know the actual utilization of platelets.ResultsA total of 26,146 crossmatches were requested for these 6,326 patients in three years. Out of these, 26,024 units were issued and transfused to the patients. The CT ratio of our data was calculated to be 1.00, the transfusion probability was found to be 98.1%, and the transfusion index was computed to be 0.99. For random donor platelets, 37,162 were prepared from whole blood during this period, while 30,971 platelets were transfused to the patients.ConclusionThe overall results of our analysis showed proper utilization of blood products at our institution. The wastage was considered to be minimal.
Highlights
In a clinical laboratory, the blood transfusion services (BTS) occupy an exclusive slot as it holds three components: one concerned with the collection of blood products; the second devoted to the preparation, allocation, and diagnostics of blood banking; and the third being the clinical and remedial constituent
A total of 26,146 crossmatches were requested for these 6,326 patients in three years
37,162 were prepared from whole blood during this period, while 30,971 platelets were transfused to the patients
Summary
The blood transfusion services (BTS) occupy an exclusive slot as it holds three components: one concerned with the collection of blood products; the second devoted to the preparation, allocation, and diagnostics of blood banking; and the third being the clinical and remedial constituent. Impulsive over-ordering of blood can strain the physical and the human budget of a healthcare system and increase the overall expenditure of patient care, especially in resource-constraint settings. To reduce the complexities and to work with minimal wastage of resources, a multidisciplinary approach is required in the utilization management of blood products. The need for blood products in hospitals is constantly increasing, which is reflected in the volume collected by the transfusion services throughout the globe. It has become awfully difficult to meet the transfusion requirements, especially in developing countries, due to an increased number of consanguineous marriages. Because of the over-ordering of blood by clinicians, the nonavailability of the crossmatched units remains a significant issue as they are kept for specific patients whose transfusion requirements are uncertain [3]. The utilization and wastage of the products should be closely monitored
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