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:: Volume 17, Issue 1 (Spring 2020) ::
Sci J Iran Blood Transfus Organ 2020, 17(1): 67-81 Back to browse issues page
Blood Bags Usage Management in Elective Surgery in Hospitals of Iran:A Review Study
M. Gholami, K. Hajinabi, L. Riahi, S. Haghpanah
Keywords: Consumption, Waste Management, Blood, Operating Rooms
Full-Text [PDF 606 kb]   (503 Downloads)     |   Abstract (HTML)  (2477 Views)
Type of Study: Review Article | Subject: Blood Transfusion
Published: 2020/03/16
Full-Text:   (1156 Views)
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Sci J Iran Blood Transfus Organ 2020;17(1): 67-81
Review  Article


Blood Bags Usage Management in Elective Surgery
in Hospitals of Iran:A Review Study
Gholami M.1, Hajinabi K.1, Riahi L.1, Haghpanah S.2
1Science and Research Branch, Islamic Azad University, Tehran, Iran
2Hematology Research center, Shiraz University of Medical Sciences, Shiraz, Iran
Background and Objectives
This study aimed to investigate the management of the consumption of blood bags in the elective procedures in the public and private hospitals in Iran. Due to the issue of blood shortages caused by unpredictable demand besides immediate requirements for blood units in particular conditions, the strategic management of consumption of this vital source is necessary.
Materials and Methods
In this study, we evaluated 30 articles published from 2005 to 2017 which included the most important observational and interventional researches in Iran. These articles had investigated the consumption procedure and the likely wastage rate of blood bags in the operating rooms of Iranian hospitals.
The results of this review showed the over-reservation of the blood units due to the lack of standard protocols for blood ordering, and the negligence of relevant staff toward expiry date and reserved/returned units as the most prevalent reasons for blood component wastage in operating rooms. The results of the studies carried out showed that conducting some effective interventions led to reduction of the rate of blood wastage and improvement of the standard blood transfusion indices such as cross-match to transfusion ratio (C/T ratio), Transfusion Probability (TP), and Transfusion Index (TI).
According to previous studies, the organization of a committee on the principles of managing blood supply at the national, local and hospital levels, implementation of standard blood transfusion guidelines, and establishment of training programs for physicians and nurses on the process of optimizing blood usage will be effective.
Key words: Consumption, Waste Management, Blood, Operating Rooms
Received:  2 Oct  2019
Accepted: 1 Dec 2019

Correspondence: Hajinabi K., PhD of Health Management Services. Assistant Professor of Science and Research Branch, Islamic Azad University.
P.O.Box: 14515-775, Tehran, Iran. Tel: (+9821) 44869827; Fax: (+9821) 44861815
E-mail: hajinabi@srbiau.ac.ir
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Gholami M, Hajinabi K, Riahi L, Haghpanah S. Blood Bags Usage Management in Elective Surgery in Hospitals of Iran:A Review Study. Sci J Iran Blood Transfus Organ. 2020; 17 (1) :67-81
URL: http://bloodjournal.ir/article-1-1310-en.html

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فصلنامه پژوهشی خون Scientific Journal of Iran Blood Transfus Organ
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