Evaluation of appropriate use of blood and blood components in 1008 hospitals having deposit system.

概要

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The purpose of this study is to advance the appropriate use of red cell products (whole blood+concentrated red cells) which are derived from whole blood donations to Red Cross Blood Centers in our country. We surveyed the effective utilization of red cell products in 1008 hospitals which have blood products in their deposit systems, by reviewing the number of units delivered and administered, and the number of units delivered, not administered, returned to the Blood Center and then finally discarded.The usage rate of red cell products among delivered units in each hospital showed a remarkable variation from 100% to 5.5%. There was no correlation between usage rate and the following three factors: (1) number of beds in each hospital, (2) number of delivered red cell product units. (3) time needed for transportation of blood products from the Blood Center. 127 hospitals having blood transfusion service units had a high usage rate of red cell products and also appropriate use of deposited blood products. On the other hand, hospitals not having blood transfusion service units showed a low usage rate of red cell products.It is therefore concluded that hospitals having blood deposit systems should establish transfusion service units in their facilities in order to achieve appropriate use of blood and blood components.
一般社団法人日本輸血・細胞治療学会の論文