AMAMI BLOOD ROTATION: APPROACHES FOR EFFICIENTBLOOD PRODUCT USE AT A CORE HOSPITAL ON A REMOTE ISLAND WITH SUPPORT FROM SEVERAL COLLABORATIVE MEDICAL INSTITUTIONS

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  • 奄美ブラッドローテーション：離島の中核病院における血液製剤利用に対して複数の連携医療機関が支援を行う運用の研究

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<p> "Amami Blood Rotation (BR) " is a collaborative project developed among four medical institutions, a blood center, and our hospital in Kagoshima Prefecture, Japan. BR allows the return and re-delivery of blood, and a consequent reduction in the amount of discarded blood. It achieves this by ensuring blood quality using blood transport refrigerators (ATRs).</p><p>In the current system, an ATR containing 5 bags of type O red blood cell product, equivalent to 2 units, is received from the blood center once a week. Blood products in the ATR which have not been used at our hospital are returned and re-delivered for use at the four collaborating medical institutions. Here, we report outcomes with this project.</p><p>After the launch of BR, the discard rate for type O red blood cells at our hospital decreased from 31.3% to 3.7%. The discard rate for blood delivered to the four collaborating medical institutions (BR blood) was 0%. The discard rate for non-BR red cells was 0.12% before BR and 0.9% after BR.</p><p>Thus, Amami BR reduced the discard rate for type O red blood cells at our hospital while ensuring safety and reliability of these products. There was no BR blood discarded at any of the four collaborating medical institutions.</p>

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