[Evaluation of blood and blood products consumption in Emam Reza hospital of Mashhad]

ABSTRACT

Blood bank Must try to provide high quality blood products with minimal wasting. This goal is achieved by optimal blood utilization management. For this purpose have to be aware of this process in the field. In a one year period during the year 1382, the amount of requested blood units and its components [FFP, cryoprecipitate, platelet] their usage, outdating and cross match to transfusion ratio [CT] evaluated in different departments of Emam Reza a general hospital in Mashhad. We also estimated average daily, weakly and yearly usage of each ABO groups and Rh type. From 1243 Blood units, 2950 [23.8%] units were been expired in many of hospital departments especially in angiography, kideney transplant, heart, and obstetric/Gynecology; CT ratio was greater than 2. Daily usage of blood in this hospital was 26 units. During this period, 7035 platelet units were used. The most usages were seen in hematology and internal emergency department. In addition, 11213 FFP units have been used. The most usage of FFP was seen in burn department. In comparison to international standards, Blood wasting rate was higher CT ratio greater than 2 usually indicates excessive cross match requests. In order to decrease this ratio, usage from a local guideline is advised. Hospital transfusion committees have to supervised blood and blood components requests and consumptions