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

Abstract

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.

Analysis of Causes of Discarding Blood and its Components in a Blood Bank: A Cross-sectional study

“…The major reason for discard in our study and other studies where due to passing expiration date. This was because of a low shelflife and unpredictable demand.Discard rate of FFP was 1.49% (405/ 27126) which was again similar to other studies like Kumari et al, 5 (10.66%), Kanani et al, 8 (5.36%), Mahapatra et al, 7 (1.49%), Suresh et al, 9 (5.5%) and Kumar et al, 10 (7.25%). The major reason for discard was TTIs.…”

“…Discard rate of Packed cells was 3.14% (858/27312) which was similar to other studies conducted in India such asKumari et al, 5 (10.2%), Kanani et al,8 (2.26%), Mahapatra et al,7 (1.35%), Suresh et al, 9 (3.3%) and Kumar et al, 10 (2.78). The most common reason was discardingin this aspect was passing of expiration date (514/27312).…”