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Volume 12, Issue 3 (Autumn 2015) |
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Evaluation of red blood cell use and the estimation of the wasted costs of unnecessary blood crossmatches
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A. Chegini   , A.R. Ebrahimi , A.H. Maghari , M. Ebraimi |
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| Keywords: Key words: Cost, Crossmatching٬ Blood, Blood Transfusion |
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Full-Text [PDF 252 kb]
(2052 Downloads)
| Abstract (HTML) (6692 Views)
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Type of Study: Research |
Subject:
Blood Transfusion
Published: 2015/09/2
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Full-Text: (2686 Views) |
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Sci J Iran Blood Transfus Organ 2015; 12(3): 207-214
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Evaluation of red blood cell use and the estimation of
the wasted costs of unnecessary blood crossmatches
Chegini A.1, Ebrahimi A.R.2, Maghari A.H.2, Ebrahimi M.3
1Blood Transfusion Research Center, High Institute for Research and Education in Transfusion Medicine, Tehran, Iran
2School of Medical Sciences, Tarbiat Modares University, Tehran, Iran
3School of Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Abstract
Background and Objectives
Packed cells and blood products are requested according to the rate of bleeding in operations. Extra requests of blood cause extra payments. The average price of a blood unit was between 61,000 to 118,000 Rials in 2002 and the cost of a single cross-match in 2014 was about 85,000 Rials. This study evaluates the use of packed red blood cells and the wasted costs of unnecessary crossmatches.
Materials and Methods
This study was done retrospectively on the data collected monthly in four hospitals for three years. The information included units requested, units cross-matched, units transfused, units returned unutilized, and C/T ratio; then, unnecessary crossmatch costs were calculated. For statistical analysis, IBM SPSS Statistics 21 was used.
Results
The total number of the requested blood units was 548568 out of which 35.7% were crossmatched; 42% of all crossmatched were transfused and 68% returned. C/T ratio of the hospitals was 2.38, the proportion of transfusion to the number of beds was 16, and the total cost of unnecessary crossmatches was a billion Rials.
Conclusions
The findings show that unnecessary crossmatching costs can be minimized by providing training to ordering physicians to request blood according to MSBOS and use standard methods in blood grouping, antibody screening, and electronic crossmatch to save blood and time.
Key words: Cost, Crossmatching ٬ Blood, Blood Transfusion
Received: 9 Dec 2014
Accepted: 22 Apr 2015
Correspondence: Chegini A., MD. Specialist in Anesthesiology. Assistant Professor of Blood Transfusion Research Center, High Institute for Research and Education in Transfusion Medicine.
P.O.Box: 14665-1157, Tehran, Iran. Tel: (+9821) 82052256; Fax: (+9821) 88601599
E-mail: a.chegini@ibto.ir
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Chegini A, Ebrahimi A, Maghari A, Ebraimi M. Evaluation of red blood cell use and the estimation of the wasted costs of unnecessary blood crossmatches. Sci J Iran Blood Transfus Organ 2015; 12 (3) :207-214 URL: http://bloodjournal.ir/article-1-922-en.html
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