Hospital transfusion service should be directed toward the optimization of transfusion therapy. But in practice the hospital transfusions, especially of fresh frozen plasma(FFP), were practiced inappropriately against the reai need. So we
evaluated
the
usage pattern of fresh frozen plasma in the Capital Armed Forces General Hospital during the period of January through December in 1994. And then, from 1995, after education of the clinician upon the basis of the survey in 1994, we regulated the
use of
FFP, by adapting the transfusion control program.
We compared the result of 1995 to those of 1994, including the total used FFP number the usage pattern in various disease and the combined use with other blood components.
The results were as follow.
1. About 50% of total FFP was used inappropriately at 1994, and the main misuse was done to the pationts who were suffering from renal disease and burn. About 14% of FFP usage combined with the packed RBCs was also seemed to be inappropriate
in
1994.
2. In 1995, with the transfusion control program. There was 72% fall in the total hospital' s usage of FFP and the misused conditions such as bum and nephrotic syndrome were virtually corrected.
We concluded that the education, guideline and regulation by the director of the transfusion service could remarkably correct the inappropriate use of FFP without any special costs.
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