blood utilization review has recently been used to minimize inappropriate transfusion, reduce post ansfusion infections and improve the quality of transfusion practices. Ajou University Hospital is a 906 ed tertiary care teaching institution.
Since
March. 1995, the concurrent review of blood transfusion quests using institutional blood transfusion criteria has been initiated.
To evaluate the effectiveness of the transfuasion review, the units of blood components transfused per tient (total number of units of blood components transfused/total number of patients discharged) and appropriate transfusion ratio of blood
components
(total number of units of blood components appropriately transfused/total number of units of blood components transfused) were compared during e concurrent review for 9 months and pre-concurrent review for 9 months, respectively. The possible
vings
of
blood components realized by the review were also extrapolated.
The results were as follows:
1. The unit transfused per patient for pre-review and during review were 0.675 (9,080/13,422) and 0.654(12,123/18,546) for packed RBC(PRBC); 0.417 (5,602/13,422) and 0.296(5,444/18,546) for fresh frozen plasma (FFP); 0.372(5,007/13,422) and
0.424(7.868/18.546) for platelet concentrates(PC), respectively.
2. The inappropriate transfusion ratio of blood components for pre-review and during review were 0.039 and 0.009 for PRBC; 0.321 and 0.064 for FFP; 0.143 and 0.008 for PC, respectively. These differences were statistically significant(P=0.000).
3. The PRBC and FFP anticipated to have been saved by this review was 519 units and 2,992 units annually, respectively.
4. However, 2,621 units of PC were used additionaly during this review due to increased number of oncology patients and better hemostatic therapy practiced during the same period.
In conclusion, the concurrent review of transfusion requests was very effective tool to educate residents in clinical departments the transfusion medicine and improve utilization of blood and its components.
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