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Efficiency of Blood Usage for Elective Surgery in the University Hospital Kuala Lumpur

Lim, E.J., and Lopez, O.G., and Veera, S.N., and Menaka, N., and Aminah A., (1996) Efficiency of Blood Usage for Elective Surgery in the University Hospital Kuala Lumpur. Malaysian Journal of Pathology, 18 (2). pp. 107-112. ISSN 0126-8635

Full text not available from this repository.

Official URL: http://www.mjpath.org.my/past_issue/MJP1996.2/efficiency%20of%20blood%20usage%20for%20elective%20surgery.pdf

Affiliations

University of Malaya, Faculty of Medicine. Dept. of Pathology["lib/metafield:join_corp_creators" not defined]University of Malaya, Faculty of Medicine. Dept. of Pathology["lib/metafield:join_corp_creators" not defined]University of Malaya, Faculty of Medicine. Dept. of Pathology["lib/metafield:join_corp_creators" not defined]University of Malaya, Faculty of Medicine. Dept. of Pathology["lib/metafield:join_corp_creators" not defined]University of Malaya, Faculty of Medicine. Dept. of Anaesthesiology

Abstract

Provision of quality care, service and blood products to patients while containing costs and the amount of blood used should be the aim of every blood bank. Therefore a prospective audit was carried out over three months to determine how efficiently blood was being used in elective surgery in the University Hospital, Kuala Lumpur. Every case with blood crossmatched was monitored to determine the amount transfused and the posttransfusion haemoglobin level. Overcrossmatching of varying degrees was noted in almost all surgical procedures and overtransfusion in 45.5% of patients transfused. The rate of case postponement was 18.1 %. These indicate inefficient utilization of blood and other resources. The transfusion index (TI) and range of units transfused were calculated for each procedure. They can be used as indicators of blood requirement and potential severity of hemorrhage. Suggestions to improve efficiency of blood utilization include the introduction and ongoing monitoring of guidelines on crossmatching and transfusion based on the data obtained here, by the hospital blood transfusion committee; the "group, screen and hold" practice for surgical procedures with high crossmatch transfusion ratios, low transfusion indices and a small range of units transfused could also be adopted.

Item Type:Journal
Additional Information:This note was added by the search_and_modify.pl script.
Keywords:Efficiency, blood usage, crossmatch-transfusion ratio.
Subjects:R Medicine, Dentistry, Pharmacy, Nursing
ID Code:3536

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