DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20170671

Determination of rate and analysis of reasons for discarding blood and blood components in a blood bank of tertiary care hospital:a retrospective study

Surekha K. Chavan

Abstract


Background: The transfusion of blood and blood components has become an integral part of patient management in modern medicine. There are no substitutes for human blood. Thus, proper utilization of blood is necessary with minimal wasting.

Methods: A total of 15,333 donors donated blood during the study period of 3 years in blood bank of a tertiary care hospital, south Maharashtra from 1 st of January, 2013 to 31 st December 2015, which were screened.

Results: Of the total 3355 whole blood collection, 615 blood bags were discarded. Out of these 615 bags 544 (88.45%) were discarded because of date expired, 41(6.66%) blood bags were discarded due to seropositivity for TTI and 22 (3.5%) blood bags were due under collection and leakage and other reasons contributed for 1.3%. A total of 4026 blood components were discarded against 29,715 blood components prepared during the study period. Among blood components discarded, most common units were platelets. The most common cause of discarding the blood components was expiry of date due to non-utilization were 3475 (86.31%).

Conclusions: Properly implemented blood transfusion policies, training of staff as well as implementation of automation will also help to improve process and output of BTS. This would reduce the discarding of blood components and wastage due to non-conformance. These discarded bags, because they are unutilized are both financially as well as socially harmful to the blood bank.


Keywords


Date expired, Discard blood, Non-utilization, Seropositive, Under-collection

Full Text:

PDF

References


Zmijewski CM, Walter EH. Blood Banking Science. New York: Appleton Century Croft; 1982.

An Action Plan for Blood Safety. New Delhi: National AIDS Control Organization, Ministry of Health and Family Welfare Government of India, MOHFW; 2003.

Saxena S, Weiner JM, Rabinowitz A, Fridey J, Shulman IA, Carmel R. Transfusion practice in medical patients. Arch Intern Med. 1993;153:2575-80.

Pitocco C, Sexton TR. Alleviating blood shortages in a resource-constrained environment. Transfusion 2005;45:1118-26.

Morish M, Ayob Y, Naim N, Salman H, Muhamad NA, Yusoff NM. Quality indicators for discarding blood in the National Blood Center, Kuala Lumpur. Asian J Transfus Sci. 2012;6:19-23.

Procedure for disposal of unsuitable blood and/or blood components. Document: PDN/CP/Work Instruction-16;2004:1.

Veihola M. Technical efficiency of blood component preparation in blood centres of 10 European countries, academic dissertation, Department of Public Health, Faculty of Medicine University of Helsinki, Finland;2008:5.

Deb P, Swarup D, Singh MM. Two corps blood supply unit, 56 APO audit of blood requisition. Med J Armed Forces India. 2001;57:35-8.

Veihola M, Aroviita P, Linna M, Sintonen H, Kekomäki R. Variation of platelet production and discard rates in 17 blood centres representing 10 European countries from 2000 to 2002. Transfusion. 2006;46:991-5.

Guide to the preparation, use and quality assurance of blood component. 12th ed. Council of Europe Publishing;2006:242-8.

Guidelines for the Blood Transfusion Services in the United Kingdom.7th ed.;2005:18-77.

Fullerton CA. Rotor Bucket liner US Beckman Instruments, INC Patent. 1984. Availablefrom: http://www.freepatentsonline.com/4439177.html. [Last accessed on 2010 Nov 7].

Armstrong B. Blood collection. ISBT Sci Series. 2008;3:123-36.

World Health Organization WHO. Quality Systems for Blood Safety: Introductory Module Guidelines and Principles for Safe Blood Transfusion Practice Geneva; 2002:65-75.