Impact of Implementing a Standard Operating Procedure to Reduce Blood Wastage in Blood Centers of Iran.
Background: Blood wastage leads to additional costs and reduced blood availability to patients. Above all is the moral issue of wasting donor gifts. This study aimed to determine the rate of blood wastage before and after implementing a new standard operating procedure (SOP) in Iran. Methods: In thi...
| Publicado en: | Archives of Iranian Medicine (AIM) Vol. 27; no. 2; pp. 89 - 96 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Academy of Medical Sciences of I.R. Iran
Feb2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=176667040&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 176667040 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10292977 5DHN jtl: Archives of Iranian Medicine (AIM) issn: 10292977 maglogo: N pubinfo: dt: Feb2024 vid: 27 iid: 2 pid: 42042 pub: Academy of Medical Sciences of I.R. Iran place: , <Blank> artinfo: ui: 176667040 176667040 176667040 10.34172/aim.2024.14 176667040 ppf: 89 ppct: 7 formats: tig: atl: Impact of Implementing a Standard Operating Procedure to Reduce Blood Wastage in Blood Centers of Iran. aug: au: Shahshahani, Hayedeh Javadzadeh Sharifi, Shahin Nasizadeh, Soheila affil: Blood Transfusion Research Center, High Institute for Research and Education in Transfusion Medicine, Tehran, Iran sug: subj: Blood Platelets Blood Transfusion Methods Medical Waste Disposal Prevention and Control Blood Banks Statistics and Numerical Data Surgery, Operative Standards Implementation Science Human Hospitals Iran Experimental Studies Patient Compliance Blood Preservation Methods Blood Transfusion Software Morals Descriptive Statistics Comparative Studies Confidence Intervals Funding Source ab: Background: Blood wastage leads to additional costs and reduced blood availability to patients. Above all is the moral issue of wasting donor gifts. This study aimed to determine the rate of blood wastage before and after implementing a new standard operating procedure (SOP) in Iran. Methods: In this interventional study, a SOP for wastage management was prepared and implemented in all blood centers throughout the country. Data were extracted from the integrated software of the Iranian Blood Transfusion Organization (IBTO). The wastage rate of blood components in the post-intervention years (2016-2017) was then compared with that in the pre-intervention years (2013-2015) using the Z test. Results: The overall wastage rate decreased by 36.86% (P < 0.001, 95% CI [36.84-36.88]) after the intervention. Red blood cell (RBC) wastage decreased from 2.6% to 2.5%, platelet wastage from 19.5% to 10.6% and plasma wastage from 15.5% to 7.3% (P < 0.001). The highest percentage of waste reduction pertained to plasma components, which decreased by 52.90% (P < 0.001, 95% CI [52.86-52.94]). Expiration was the most common cause of RBC and platelet wastage. The most common causes of plasma wastage were RBC contamination and rupture or leakage of the bags. The intervention resulted in a drop of over 250 000 discarded components each year, equal to approximately thirty-six million dollars in savings. Conclusion: This intervention effectively reduced waste and increased efficiency. Ongoing blood wastage reviews, auditing, and receiving feedback from the central headquarters were powerful tools in following the compliance of blood centers. Further studies are recommended, especially concerning blood wastage in hospital blood banks and various wards. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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