Analysis of discard of whole blood and its components with suggested possible strategies to reduce it

Patil, Parikshit; Bhake, Arvind; Hiwale, Kishor

doi:10.18203/2320-6012.ijrms20160299

Cited by 15 publications

(20 citation statements)

References 2 publications

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“…The average discard rate of blood and blood components in the present study was 17.9% which was quite comparable with the previously conducted studies [3][4][5][6][7][8][9]. Table 4 signified the comparison of reasons for discarding of blood and blood products in the present study with similar other studies.…”

Section: Discussionsupporting

confidence: 90%

Analysis of reasons for discarding of blood and blood products in a tertiary care hospital

Vimal

Balla

Anandabaskar

2019

Trop J Pathol Microbiol

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Introduction: A quality management system should be followed at all stages of collection, processing, storing and issuing of blood products. Hence it is vital to know the discarding of blood products at the blood banks to improve the transfusion services and for effective management of the blood products. Aim: To find the various reasons for discarding of blood products and to explore the strategies to minimize its wastage in the blood bank of a tertiary care hospital. Materials and methods: Data was collected from the master blood donor register, whole blood and components record and discarding register for a period of three years. The information on total blood products prepared, total number of products discarded and the reason for discarding was retrieved from these records. Results: In the study period, expiry was the main reason for discarding of whole blood and platelets. Packed cells were discarded due to expiry, Transfusion transmissible infections and damaged bag. Damaging due to the handling was the common reason for discarding of FFPs and none of the Cryoprecipitate was discarded. Hepatitis B infection was the most common cause of Transfusion transmissible infection followed by Syphilis in the present study. Conclusion: Meticulous screening of donors prior to blood donation, sensitizing the clinicians on rational use of blood products, training of blood bank personnel and practicing standard transfusion protocols will minimize the discard rate of blood and blood products in the blood banks.

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Section: Discussionsupporting

confidence: 90%

Analysis of reasons for discarding of blood and blood products in a tertiary care hospital

Vimal

Balla

Anandabaskar

2019

Trop J Pathol Microbiol

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“…In other studies, the average rate of discarding is quite variable, which ranges from 2.3% to 22.45%. 5,6,7 Mean Discard rate for PRBC in our study was 10.20% which was higher than quoted by different studies showing the range of discard rate from 2% to 4.5% 8,9 , although some of them did not include TTI status for calculation of discard rate. Out of total 368 units of PRBC, 251 units were expired due to non-utilization of PRBC units till their expiry, or due to received back from their treating wards.…”

Section: Section: Transfusion Medicinecontrasting

confidence: 73%

Reasons and Recommendations to Reduce Wastage Pattern of the Blood Component in the Newly Started Tertiary Care Center Blood Bank in East India

Kumari¹,

Maheshwari²,

Kumar³

et al. 2019

IJCMR

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Introduction: In quality management system for process improvement and better inventory management, a performance monitoring tool is critical in the blood bank to improve quality and discard rate of blood component is one of the essential elements. This study was designed to analyse blood component discard and their reason in a newly developed institute and blood bank setup. Material and Methods:It was a retrospective observational study from May 2018 to March 2019. During the study period data was captured and analysed for component preparation and discarded individually and cumulatively. Major reasons were analysed for blood component discard. Results:Total number of blood component discard observed were 1714 out of which 368 red cell component (21.4%); 1139 Platelet component (66.4%), 210 fresh frozen plasmas (11.7%); 6 cryoprecipitate and cryo poor plasma respectively (0.6%) were discarded. Major reasons for discard of blood component were expiry, TTI reactivity, leakage, and red cell contaminations. Conclusion:The current study reflects very high discard rate compared to other published studies and recommend the following the necessary policies and supervision for reduction of blood component discard are need based change and production of blood components and better inventory management in new hospital based setup and following standard procedure for manufacturing, storage and transfer of blood components.

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“…Discard rate for PRC was higher (6.76%) in a study conducted by Patil P et al [15] and most common reason for discard of PRC was TTI positive status of donors followed by date of expiry.…”

Section: Discussionmentioning

confidence: 79%

“…So their chance of expiry due to non utilization was highest among blood components. To minimize high discard, platelets should be prepared on request and using modern techniques like apheresis [15].…”

Section: Discussionmentioning

confidence: 99%

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A Retrospective study of analysis of reasons for discard of blood and blood components

et al. 2018

Trop J Pathol Microbiol

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Introduction: Blood transfusion is an essential element in modern health care. Transfusion of blood and blood components has become an integral part of patient management in modern medicine. Human blood till date has no substitute. Demand of blood and its components always outpace its supply. This emphasizes the need for proper utilization of blood and its components with preferably "NO" or minimal wastage. Materials and methods: A Retrospective study of analysis was carried out at Sri Siddhartha Medical College Hospital Blood bank from 1 st January 2017 to December 31 st 2017. Results: Out of 1806 whole blood bags, 371 (5.21%) were discarded. 137 (36.9%) units were discarded because of transfusion transmitted infections (TTIs). Out of 11809 components prepared, 1027 (8.6%) were discarded. Most common component discarded was platelet (40.7%) and reason for discard was date of expiry due to non-utilization. Conclusion: Blood being irreplaceable source, discard rate can be reduced by proper counseling of blood donors and adhering to strict donor deferral criteria. Discard rate of platelet concentrate can be minimized by preparing platelet concentrate on request and also by using modern technique like Apheresis.

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Analysis of discard of whole blood and its components with suggested possible strategies to reduce it

Cited by 15 publications

References 2 publications

Analysis of reasons for discarding of blood and blood products in a tertiary care hospital

Analysis of reasons for discarding of blood and blood products in a tertiary care hospital

Reasons and Recommendations to Reduce Wastage Pattern of the Blood Component in the Newly Started Tertiary Care Center Blood Bank in East India

A Retrospective study of analysis of reasons for discard of blood and blood components

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