Determining Model for Maximum Blood Request (MSBOS) for Surgery: An Elective Surgery in Imam Ali Hospital, Zahedan, Iran

Abstract

Background: Nowadays, excessive blood intake is one of the most common problems in educational hospitals, causing issues such as the lack of proper distribution of blood products among centres, increases in costs and blood bank workloads. So, programs such as a Maximum Surgical Blood Ordering Schedule (MSBOS) were introduced to design a blood ordering schedule, which is a guide to normal transfusion needs for common surgical procedures. 
 Materials and Methods: This study was a descriptive cross-sectional study. The sampling method was designed and distributed among all sectors of the hospital. Each sector according to the demand for blood and cross-matched transfused units entered the rate of wasted and unused blood bags on the related forms. This study was performed on 1568 patients, of whom 562 (35/84%) were given blood transfusions.
 Results: The aim of this study was to determine the pattern for the maximum surgical blood order schedule (MSBOS) for elective surgical procedures/in elective surgery cases in Imam Ali Hospital, Zahedan. This study was performed on 1568 patients, of whom 562 (35/84%) were given blood transfusions. The mean C/T ratio was 1.61 ± 0.99, the mean TI was 0.61 ± 0.38, and the mean T index was 36.4 ± 30.16%.
 Conclusion: In general, only 55% of the blood units were used. Hernia surgery, thyroidectomy, and patients with renal problems had the greatest number of wasted units. Therefore, according to the results, indications of blood donation should be made correctly by health care personnel in all patients requiring a blood transfusion, and if there is an increased number of indications, packed cells are requested.

A Proposed Managerial Model for Improvement of Blood Consumption in the Operating Rooms in Southern Iran

“…In this facet, the most impressive subject was evaluating and reporting reasons for the expiry date of blood products, such as excessive orders of blood bags in operating rooms. In accordance with our results, excessive order of blood was suggested as one of the major causes of blood wastage in several studies (9,27,33). Another important problem in our center that leads to a high amount of blood wastage is a high frequency of canceled transfusion injections, mainly due to canceled surgeries.…”

The Role of Reticulocyte Hemoglobin Content in Diagnosing Iron Deficiency in Childhood Cancer

“…18 The timely diagnosis and treatment of ID are crucial in cancer patients to prevent complications associated with anemia, such as impaired exercise capacity, fatigue, reduced quality of life, and an overall poor prognosis. 4,7,18 While functional ID is typically predominant, 4,16,[18][19][20] absolute ID was more prevalent in this study, indicating reduced iron stores as the main cause. Thus, restoring iron stores through appropriate therapies is essential.…”

Maximum surgical blood ordering schedule for common Orthopaedic surgical procedures at Birrd hospital (Tertiary orthopaedic hospital)

“…Blood wastage also depends on the surgeon's expertise for a particular surgery as well as the anaesthetists preset higher transfusion triggers. Despite much studies and evidence-based guidelines for transfusion, inappropriate transfusion still occurs [15,20] . In establishment of a schedule of MSBOS, emphasis should be laid on local circumstances, clinical practice and patient's variables.…”