Qazvin University of Medical Sciences, Department of Health Management, Qazvin, Iran
Qazvin University of Medical Sciences, Metabolic Research Center, Department of Pathology, Qazvin, Iran
Turk J Haematol. 2014 Jun;31(2):161-7. doi: 10.4274/tjh.2012.0105. Epub 2014 Jun 10.
The purpose of this study was to determine the rate and causes of wastage of blood and blood products (packed red cells, plasma, platelets, and cryoprecipitate) in Qazvin hospitals.
The study was conducted in all hospitals in Qazvin, including 5 teaching hospitals, 2 social welfare hospitals, 3 private hospitals, 1 charity hospital, and 1 military hospital. This descriptive study was based on available data from hospital blood banks in the province of Qazvin. The research instrument was a 2-part questionnaire. The first part was related to demographic characteristics of hospitals and the second part elicited information about blood and blood component wastage. The collected data were then analyzed using descriptive statistic methods and SPSS 11.5.
Blood wastage may occur for a number of reasons, including time expiry, wasted imports, blood medically or surgically ordered but not used, stock time expired, hemolysis, or miscellaneous reasons. Data indicated that approximately 77.9% of wasted pack cell units were wasted for the reason of time expiry. Pack cell wastage in hospitals is reported to range from 1.93% to 30.7%. Wastage at all hospitals averaged 9.8% among 30.913 issued blood products. Overall blood and blood product (packed red cells, plasma, platelets, and cryoprecipitate) wastage was 3048 units and average total wastage per participant hospital for all blood groups was 254 units per year.
Blood transfusion is an essential part of patient care. The blood transfusion system has made significant advancements in areas such as donor management, storage of blood, cross-matching, rational use of blood, and distribution. In order to improve the standards of blood banks and the blood transfusion services in Iran, comprehensive standards have been formulated to ensure better quality control in collection, storage, testing, and distribution of blood and its components for the identified major factors affecting blood product wastage.
本研究旨在确定卡泽伦医院血液和血液制品（浓缩红细胞、血浆、血小板和冷沉淀）浪费的发生率和原因。
该研究在卡泽伦省的所有医院进行，包括 5 所教学医院、2 所社会福利医院、3 所私立医院、1 所慈善医院和 1 所军队医院。这是一项描述性研究，基于该省医院血库的现有数据。研究工具是一份 2 部分的问卷。第一部分与医院的人口统计学特征有关，第二部分收集了关于血液和血液成分浪费的信息。收集的数据使用描述性统计方法和 SPSS 11.5 进行分析。
血液浪费可能有多种原因，包括时间过期、浪费进口、医学或手术上规定但未使用的血液、库存时间过期、溶血或其他原因。数据表明，大约 77.9%的浪费的浓缩红细胞单位是由于时间过期而浪费的。医院报告的浓缩红细胞浪费率在 1.93%至 30.7%之间。所有医院的血液制品发放量平均为 9.8%。总的血液和血液制品（浓缩红细胞、血浆、血小板和冷沉淀）浪费量为 3048 单位，所有血型参与者医院的平均总浪费量为每年 254 单位。
输血是患者治疗的重要组成部分。输血系统在供体管理、血液储存、交叉配型、血液合理使用和分配等方面取得了重大进展。为了提高伊朗血库和输血服务的标准，已经制定了全面的标准，以确保更好地控制血液及其成分的采集、储存、检测和分配，以确定影响血液制品浪费的主要因素。
