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

DOI
  • Yokoyama Shigeki
    Blood Products Demand and Supply Research Group Japanese Red Cross Blood Servies
  • Kato Toshiaki
    Blood Products Demand and Supply Research Group Japanese Red Cross Blood Servies
  • Ito Hidekazu
    Blood Products Demand and Supply Research Group Japanese Red Cross Blood Servies
  • Iwata Takuya
    Blood Products Demand and Supply Research Group Japanese Red Cross Blood Servies
  • Hidaka Satoshi
    Blood Products Demand and Supply Research Group Japanese Red Cross Blood Servies
  • Kobayashi Yoshio
    Blood Products Demand and Supply Research Group Japanese Red Cross Blood Servies
  • Miyahara Masayuki
    Blood Products Demand and Supply Research Group Japanese Red Cross Blood Servies
  • Yamamoto Kiyoko
    Blood Products Demand and Supply Research Group Japanese Red Cross Blood Servies
  • Yahara Seiji
    Blood Products Demand and Supply Research Group Japanese Red Cross Blood Servies

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Other Title
  • 献血由来血液製剤有効使用の立場からみた備蓄医療機関の現状と問題点

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Description

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.<br>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.<br>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.

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