scholarly journals Blood Transfusion Practice before and after Implementation of Type and Screen Protocol in Emergency Department of a University Affiliated Hospital in Iran

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Mostafa Alavi-Moghaddam ◽  
Mahmoud Bardeh ◽  
Hossein Alimohammadi ◽  
Habib Emami ◽  
Seyed-Mostafa Hosseini-Zijoud
Keyword(s):  
Emergency Department ◽  
Blood Transfusion ◽  
Transfusion Practice ◽  
Time Interval ◽  
Blood Transfusions ◽  
Common Diseases ◽  
Before And After ◽  
Transfusion Ratio ◽  
Cross Match

Background. Blood transfusion is the cornerstone of therapy for many serious and common diseases. This study was performed to assess blood transfusion practice before and after implementation of type and screen protocol in emergency department of a university affiliated hospital in Iran, 2012-2013.Methods. An audit was studied before and after the implementation of type and screen protocol. The number of blood transfusions, time interval between blood order and transfusion, cross-match to transfusion ratio (C/Tratio), and transfusion index (TI) were checked.C/Tratio was used as a measure of the efficiency of blood ordering practice. We compared our results before and after implementation of type and screen protocol.Results. In present study after implementation of type and screen protocol, the time interval between requesting blood transfusion and transfusion of blood has decreased significantly (P<0.001). The number of blood transfusions required by actual patients increased significantly from 1/2 to 2 (P<0.001). The average cross-match to transfusion (C/T) ratio got near 1.13 from 1.41 and TI got near 0.91 from 0.58 (P<0.001).Conclusion. The implementation of T&S protocol has been proven to be safe, efficient, and beneficial to the transfusion practice of our hospital from the current study.

scholarly journals Blood transfusion practices in a tertiary care hospital in Nepal

2020 ◽  
Vol 10 (2) ◽  
pp. 1728-1732
Author(s):  
Amar Narayan Shrestha ◽  
Barun Babu Aryal ◽  
Ayusha Poudel ◽  
Shraddha Poudel ◽  
Shreya Shrestha ◽  
...  
Keyword(s):  
Blood Transfusion ◽  
Tertiary Care ◽  
Transfusion Practice ◽  
Care Hospital ◽  
Good Utilization ◽  
Use Of Resources ◽  
The Cross ◽  
The Individual ◽  
Transfusion Ratio ◽  
Cross Match

Background: Blood transfusion is an integral part of patient management. Good transfusion practice guided by standard protocols is considered ideal for optimal use of resources and manpower. Cross-match requests disproportionate to the actual requirement causes overestimation of blood usage and potential wastage. This study aims to determine the crossmatch, transfusion, and utilization rates for blood using transfusion index, and cross-match to transfusion ratio in the various departments of the hospital for the evaluation of transfusion practices. Materials and Methods: A retrospective study was conducted using the records from the hospital blood bank for 12 months to obtain transfusion and cross-match records from various clinical units. Transfusion requests, units cross-matched, and completed transfusions were used to calculate the cross-match to transfusion ratio, and transfusion index for each department. Results: A total of 5156 units of blood were cross-matched for 3437 transfusion requests, out of which 3752 were transfused, giving a mean cross-match to transfusion ratio of 1.37. The non-usage of blood was 27.2% and the transfusion index stood at 1.09. The cross-match to transfusion ratio for the individual clinical units ranged from 1.75 (Surgery) to 1.14 (Medicine). Conclusions: The cross-match to transfusion ratio and transfusion index were within recommended ranges, showing good utilization and low blood wastage. The establishment of a blood ordering protocol via a multidisciplinary approach should be considered to further optimize blood transfusion practices.

scholarly journals Blood transfusion practices in a tertiary care center in Northern India

2017 ◽  
Vol 9 (02) ◽  
pp. 071-075 ◽  
Author(s):  
Sonam Kumari
Keyword(s):  
Blood Transfusion ◽  
Care Center ◽  
Tertiary Care ◽  
Transfusion Practice ◽  
Northern India ◽  
Transfusion Ratio ◽  
Surgery Department ◽  
Transfusion Guidelines ◽  
Very High ◽  
Cross Match

Abstract BACKGROUND: Blood transfusion plays vital roles in the medical and surgical practice. To achieve optimum use of blood, transfusion has to be appropriate and judicious consuming minimal resources and manpower. OBJECTIVE: To evaluate the pattern of blood transfusion requests and utilization with the aim of determining transfusion practice. MATERIALS AND METHODS: Blood request forms and cross-match worksheets at the blood bank were analyzed over a 6-month period. Numbers of requisitions, blood units cross-matched, issued out, transfused, and nontransfused were calculated. Nonusage probability (NUP) and the cross-match to transfusion ratio (CTR) for each clinical unit were computed. RESULTS: Two thousand two hundred and sixty-eight units of blood were cross-matched for 1487 patient’s transfusion requests, out of which only 1455 (64.2%) were transfused giving a total CTR of 1.6 for the hospital. The CTR for the various clinical units were: Obstetrics and gynecology (O and G) 2.7, surgery 2.1, orthopedics 1.9, medicine 1.1, pediatrics 1, and oncology 1. CONCLUSIONS: The overall CTR (1.6) of the hospital was within the optimal range except for the O and G and surgery department which were having very high NUP and CTR indicating their suboptimal transfusion practices. Introducing revised transfusion guidelines, maximum surgical blood ordering schedule and type, screen, save, and abbreviated cross-match method can help toward adequate requisition and utilization of blood thereby reducing wastage of resources, time, and manpower.

scholarly journals Rational red blood cells administration - have we achieved a satisfactory level?

2020 ◽  
Vol 148 (5-6) ◽  
pp. 299-303
Author(s):  
Vojislav Lukic ◽  
Biljana Zivotic ◽  
Branislava Vasiljevic ◽  
Almira Sabani ◽  
Gradimir Bogdanovic ◽  
...  
Keyword(s):  
Blood Transfusion ◽  
Cross Sectional Study ◽  
Health Care Facilities ◽  
Cross Sectional ◽  
Allogeneic Transfusion ◽  
Care Facilities ◽  
Almost All ◽  
Transfusion Ratio ◽  
Cross Match

Introduction. The important indicators of the quality of work in blood transfusion banks and health care facilities in general is the ratio of the cross-matched red blood cell (RBC) units, and the number of transfused RBC, known as cross-match to transfusion ratio (C:T). The objective of this research was to provide an assessment of the quality of our work in a cross-sectional study, showing C:T ratios for certain areas of surgery or particular surgical indications. Methods. We analyzed the data related to the activities of the Department for Pre-Transfusion Testing and Blood Distribution at the Blood Transfusion Institute of Serbia during the September and November of 2017 period. In total, 341 patients were included in the study, for whom 1,067 RBC units were requested. Results. In pre-transfusion testing, 562 units were cross-matched and 249 units were transfused. The overall C:T ratio was 2.25. There are variations in C:T by departments. For the departments of abdominal surgery and reanimation, where uncrossmatched RBC units were requested, C:T was < 2. Other departments had C:T > 3 for almost all therapeutic areas. Conclusion. Our results show that the C:T ratio ranged 2.02?3.6, indicating the need to reevaluate the protocols based on which the blood is requested according to individual indications, to adequately prepare patients for surgery in order to reduce the risk of possible allogeneic transfusion, and to apply Patient Blood Management protocols, which include the use of alternatives to allogeneic blood transfusion.

scholarly journals Problems evidenced by nursing care in blood transfusions: an integrative review

2020 ◽  
Vol 8 (3) ◽  
pp. 48-57
Author(s):  
Aniandra Sgarbi ◽  
Maria Lúcia Ivo ◽  
Andréia Insabralde de Queiroz Cardoso ◽  
Rodrigo Guimarães dos Santos Almeida ◽  
Caroline Neris Ferreira Sarat ◽  
...  
Keyword(s):  
Patient Safety ◽  
Blood Transfusion ◽  
Nursing Care ◽  
Quality Care ◽  
Care Patient ◽  
Transfusion Practice ◽  
Blood Transfusions ◽  
Continuous Training ◽  
Level Of Evidence ◽  
The Subject

Objective: Analyse the primary studies that highlighted the problems related to Nursing assistance in the practice of blood transfusions. Materials and Methods: Integrative literature review with a search of journals indexed in SCOPUS; CINAHL; SCIENCE DIRECT; PUBMED and WEB of SCIENCE databases, with the descriptors blood transfusion; Exchange Transfusion; Hemotherapy Service; nursing care; Patient Care Planning; Evidence Based Nursing. Results and Discussion: The sample consisted of 12 primary articles. Two qualitative studies obtained a moderate and strong level on the COREQ scale. In the STROBE score assignment, ten articles were selected with scores above 12. As for the level of evidence, 91.6% have level 4 and 8.4% level 3. Regarding the professionals' knowledge about blood transfusion, although they have knowledge of the subject, they declare the need for continuous training for quality assurance and, also, those who know the process, but do not adequately perform the steps for patient safety, need training. Regarding patient safety, the knowledge deficit of professionals can be detrimental to patient safety, which can lead to potential harm and increased morbidity and mortality of patients in the process of hemodialysis. Conclusion: The transfusion practice requires qualified professionals to ensure quality care and patient safety. Therefore, there is a need for ongoing education programs that include training and capacity-building related to the subject, as well as the multiple factors arising from lack of quality and unhealthy forms of work that overload professionals and lead to error.

Comparison of blood transfusion practice in two hospitals before and after publication of evidence of acceptable haemoglobin levels

2001 ◽  
Vol 18 (Supplement 21) ◽  
pp. 57
Author(s):  
J. Kinsella ◽  
G. Fletcher ◽  
M. Garrioch ◽  
T. Walsh ◽  
M. Daniel ◽  
...  
Keyword(s):  
Blood Transfusion ◽  
Transfusion Practice ◽  
Before And After

Blood Requests and Utilization in Elective Surgical Patients in a Nigerian Teaching Hospital

2020 ◽  
Vol 154 (Supplement_1) ◽  
pp. S168-S168
Author(s):  
A T Olatinwo ◽  
A Bolarinwa ◽  
T Adeyemo
Keyword(s):  
Blood Transfusion ◽  
Tertiary Hospital ◽  
Transfusion Practice ◽  
Surgical Patients ◽  
Surgical Interventions ◽  
Elective Surgical Procedures ◽  
Blood Transfusion Service ◽  
One Year ◽  
Transfusion Ratio ◽  
Transfusion Guidelines

Abstract Introduction/Objective Although requesting for blood is a very common practice for patients for surgical interventions, the average requirement for a particular procedure is usually based on subjective anticipation of blood loss rather than on evidence based estimates. Over-ordering of blood components results in wasting of technical time, reagents and imposes extra cost on patients. The objective of this study is to assess blood ordering and utilization in a Nigerian Tertiary Hospital. Methods A review of one year data collected from the records of all discharged surgical patients and blood bank registers was done. Blood utilization was calculated using crossmatch to transfusion ratio (C/T), transfusion probability (%T), and transfusion index (TI). Results A crossmatch request for 1,228 units for 569 patients was made. Requests was higher for gynaecological cases (24.8 %) followed by orthopaedic procedures and least for cardiothoracic and urological surgeries (1.4 % each). Out of the crossmatched units, 880 units was transfused for 373 patients. The overall of C/T, %T, and TI were 1.4, 65.6%, and 1.55 respectively. The highest C/T was observed in elective caesarean sections (2.25) and neurosurgeries (2.2) while the lowest C/T was observed in oral maxillofacial surgeries (1.09) Conclusion Unnecessary crossmatching with minimal transfusion practice was observed in many elective surgical cases. Blood request pattern for elective surgeries needs to be revised and unnecessary requests minimized. There is a need for a Hospital blood transfusion committee which should come up with blood request policies and transfusion guidelines for elective surgical procedures and also conduct regular blood transfusion service audits.

scholarly journals Blood Transfusion Practice in Operating Rooms in Nemazee Hospital in Southern Iran

2021 ◽  
Vol 24 (2) ◽  
pp. 107-112
Author(s):  
Sezaneh Haghpanah ◽  
Shima Miladi ◽  
Leila Kasraian ◽  
Ali Zamani ◽  
Maryam Gholami
Keyword(s):  
Blood Transfusion ◽  
Surgical Procedures ◽  
Laboratory Data ◽  
Operating Rooms ◽  
Cross Sectional Study ◽  
Transfusion Practice ◽  
Cross Sectional ◽  
Southern Iran ◽  
Blood Utilization ◽  
Transfusion Ratio

Background: The requests for blood products in elective surgeries exceed actual use, leading to financial wastage and loss of shelf-life. In this study, we assessed the blood transfusion indices in elective surgeries performed in the operating rooms. Methods: In this cross-sectional study, from January to June 2017, a total of 970 adult patients who underwent elective surgeries in the operating rooms of Nemazee hospital, a general referral hospital in southern Iran, were investigated. Demographic, clinical, and laboratory data, such as hemoglobin (Hb), hematocrit (Hct), platelets, prothrombin time (PT), and partial thromboplastin time (PTT) were gathered from medical records. Blood utilization was evaluated using the following indices: cross-match to transfusion ratio (C/T ratio), transfusion probability (T%), transfusion index (TI), and Maximum Surgical Blood Order Schedule (MSBOS). Results: The overall C/T, T%, and TI ratios were 2.49, 46.6%, and 0.83 for all procedures, and the highest and lowest ratios pertained to the thoracic and cardiac surgeries, respectively. The C/T ratio was ≥2.5 for all surgical procedures except for cardiac surgeries. T% was <30 for thoracic and orthopedics surgeries and ≥30 for other surgical procedures. In all surgical procedures, TI was less than 0.5, except for cardiac surgeries. Also, the MSBOS was about 3 units for cardiac surgeries and ranged from 0.5 to 1 units in other surgeries. Conclusion: The results of this study showed a high quality blood transfusion practice in cardiac surgeries, possibly due to more focus on this critical ward. Assessing difficulties in the process of reservation, utilization, and preparation of standard protocols and policies are required to improve the blood utilization practice in operating rooms.

scholarly journals Direct-Push Blood Transfusion Practice in the Neonatal Unit of a Tertiary Hospital in South-South, Nigeria

2021 ◽  
pp. 91-96
Author(s):  
E. U. Bassey ◽  
S. B. Adesina
Keyword(s):  
Blood Transfusion ◽  
Cell Volume ◽  
Packed Cell Volume ◽  
Tertiary Hospital ◽  
Transfusion Practice ◽  
Hospital Data ◽  
Direct Push ◽  
Before And After ◽  
Aseptic Conditions ◽  
Blood Bag

Introduction: Transfusion of blood is a life-saving intervention in the care of ill neonates. Donated blood is a scarce national resource and must be used in the most efficient way. Exchange blood transfusion using the blood bag is the commonest mode of blood delivery employed. Other modalities of safe and sustainable blood delivery should also be explored, especially where paucity of funds predominates. This study aims to assess the usefulness of the direct push method where applicable, as an alternative to blood bag delivery in neonatal units of resource poor settings. Methods: A two year retrospective study of newborns admitted in the neonatal wards of the University of Uyo Teaching Hospital. Data obtained were the age, gender, indication for admission, packed cell volume (PCV) before and after transfusion. Blood transfusion was done in aliquots over 24 hours under aseptic conditions, via a peripheral vein. The push and pull method was employed, with no anticoagulant in the syringe. Post-transfusion PCV was done at least 24 hours after the procedure. Results: Of the one thousand and seventy-seven (1077) admitted neonates, two hundred and thirty-nine (22.2%), received blood products. Of these, twenty-one (8.8%), received a direct whole blood transfusion. Age (days) of the neonates transfused ranged from 1 to 26 days, with a mean of 10.4 ± 8.13. The Packed Cell Volume (PCV) pre-transfusion ranged between 20% - 44%, with a mean of 30.05 ± 6.39 while post-transfusion PCV ranged between 31% to 51%, with a mean of 38.17 ± 5.52(Fig. 1). The commonest indication for transfusion was prematurity, 9(42.8%) and neonatal sepsis 5 (23.8%). Conclusion: The direct transfusion of blood occasionally used, seems a relatively safe practice to correct mild/moderate anaemia. It also provides sufficient blood, with the advantage of usage when the umbilical cord access is no longer feasible and where cost of blood would otherwise, hinder quick intervention. This practice may need further evaluation by other centers.

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