MAXIMUM SURGICAL BLOOD ORDERING SCHEDULE: AN INSTITUTIONAL STUDY.
*Dr. Subhashish Das, MD and Dr. Kalyani R.
ABSTRACT
Excess ordering of blood and blood components is widely prevalent across the world, which, in- turn, leads to overburdening of blood bank with unnecessary grouping, cross-matching of blood units that ultimately leads to gross mis-utilization of resources, reagents and wastage of blood units along with imposition of financial stress to the patients, particularly those from the economically weaker section of the society. In view of this, various options are being considered, with greater emphasis on judicious and rational usage of blood and blood products based on safety and minimization of wastage. Once such step is the development of Maximum Surgical Blood Ordering Schedule this is a criterion development from institutional usage statistics providing a figure for the number of units to be cross matched for any given surgical procedure. MSBOS is done by a team approach involving surgeons, anesthesiologist, hematologist and blood bank staff. MSBOS will be of greats use in improving rational and scientific blood utilization, maintaining blood safety standards without compromising patient welfare.
Keywords: Type & Screen, Blood Transfusion, Maximum surgical blood ordering schedule.
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