The Use of the Electronic Cross-Matching in Transfusion Center

Abstract

Purpose: To demonstrate the results obtained as an outcome of using electronic cross-match (ECM) procedure which shortens the last phase of the preparation of one or more blood product output only by checking the ABO compliance that the patient does not have an alloantibody in life and confirmed by antibody screening with in the last 72 hours through inquiring the database and might reduce the costs. Methods: The patients transfused in whom ABO compatibility of the blood and blood product was investigated using ECM procedure in the hospital between the years 2014 and 2015 were included in the study. The prerequisites stipulated by American Association of Blood Banks, and indicated in its 2003 guideline were provided. The blood-typing and indirect Coombs (IC) tests have been analyzed by gel colon agglutination system. Results: During the study period, 25989 units packed red blood cells (RBCs) and 16 units whole blood were ordered from the clinics, and reserved for them. But 11254 units RBCs and 15 units whole blood were used. Crossmatch transfusion rate would be 2,3 if serologic crossmatch was performed to all of the blood products instead of ECM in transfusion laboratory. The costs of both procedures differed 2.07 times. During two years incompatible or mismatched blood transfusion and acute hemolytic transfusion reaction were not observed. Conclusion: The most important problem that can be experienced in the absence of blood products is the loss of human life which is beyond the limits of cost calculation. For this reason, it is thought that the advantages of the ECM model cannot be measured. It is thought that it will be beneficial to spread the usage of ECM in transfusion center laboratories without compromising quality standards and blood transfusion safety.