Discard rate in blood transfusion service – A critical tool to support blood inventory management

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dc.contributor.authorLuhar, RKen_US
dc.contributor.authorShah, RJen_US
dc.contributor.authorV, Hen_US
dc.date.accessioned2020-09-24T07:56:52Z
dc.date.available2020-09-24T07:56:52Z
dc.date.issued2020-07
dc.description.abstractBackground: Blood and blood component plays a key role in health-care management. Even after enormous efforts, there is no substitute available. Blood is a scarce resource and blood wastage could impose a very serious impact on health care. Objective: The current study was conducted to determine rate and reasons for wastage of blood and its blood components. Materials and Methods: A retrospective study was conducted in one of the largest standalone blood centers of West India. Data were retrieved from indigenous Integrated Blood Bank Management System software. The data were analyzed for a period of 12 months, from January 1, 2019, to December 31, 2019. Results: The total collection of blood units during the study period was 30,960 units. As per the policy of blood center, all the blood units were subjected to component separation with preparation with 88,973 components, including red cells, platelet concentrates (PLT), fresh frozen plasma (FFP), cryoprecipitate (CRYO) cryo-poor plasma (CPP), and single donor platelet (SDP). A total of 2637 blood and blood components (2.96%) were discarded during the study period. Discard rate among blood and blood component as per separation was found whole blood 0.99%, red blood cells 2.28%, FFP 1.88%, PLT 4.66%, CRYO 3.88%, CPP 1.25%, and SDP 0.47%, respectively. Among total discard rates, the major reason is seroreactivity of blood donor (1.11%), followed by expiry (0.67%), quality checks (0.29%), clotted bag (0.03%), Direct antiglobulin test (DAT/DCT) positivity (0.00%), and other causes (0.06%). Conclusion: Worldwide comprehensive standards have been formulated to ensure better quality control in each step of blood transfusion service including collection, storage, testing, and distribution of blood and components. To prevent wastage of rare commodity, continued medical education for technical staff, self-audit, and tracking quality indicators for the blood components is highly recommended.en_US
dc.identifier.affiliationsDepartment of Transfusion Medicine, Prathama Blood Centre, Ahmedabad, Gujarat, Indiaen_US
dc.identifier.citationLuhar RK, Shah RJ, V H. Discard rate in blood transfusion service – A critical tool to support blood inventory management. International Journal of Medical Science and Public Health. 2020 Jul; 9(7): 426-430en_US
dc.identifier.issn2277-338X
dc.identifier.issn2320-4664
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/205660
dc.languageenen_US
dc.publisherInternational Journal of Medical Science and Public Healthen_US
dc.relation.issuenumber7en_US
dc.relation.volume9en_US
dc.source.urihttps://dx.doi.org/10.5455/ijmsph.2020.08128202009082020en_US
dc.subjectBlooden_US
dc.subjectBlood Componenten_US
dc.subjectDiscard Rateen_US
dc.subjectQuality Indicatoren_US
dc.subjectQuality Controlen_US
dc.subjectAuditen_US
dc.titleDiscard rate in blood transfusion service – A critical tool to support blood inventory managementen_US
dc.typeJournal Articleen_US
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