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 processimprovement and better inventory management, a performancemonitoring tool is critical in the blood bank to improvequality and discard rate of blood component is one of theessential elements. This study was designed to analyse bloodcomponent discard and their reason in a newly developedinstitute and blood bank setup.Material and Methods: It was a retrospective observationalstudy from May 2018 to March 2019. During the study perioddata was captured and analysed for component preparationand discarded individually and cumulatively. Major reasonswere analysed for blood component discard.Results: Total number of blood component discard observedwere 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 bloodcomponent were expiry, TTI reactivity, leakage, and red cellcontaminations.Conclusion: The current study reflects very high discardrate compared to other published studies and recommendthe following the necessary policies and supervision forreduction of blood component discard are need based changeand production of blood components and better inventorymanagement in new hospital based setup and followingstandard procedure for manufacturing, storage and transfer ofblood components.