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KMID : 0387720120230030217
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Korean Journal of Blood Transfusion
2012 Volume.23 No. 3 p.217 ~ p.223
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Analysis of Turnaround Times of Blood Issue at an Island Hospital
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Kim Sun-Hyung
Chung You-Nam
Kim Young-Ree
Kang Sung-Ha
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Abstract
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Background: Transfusion service, as a task directly affecting the patient’s life, must be performed as expeditiously
as possible. However, for various reasons, we have experienced difficulty in supplying blood products in a timely
manner. In this study, we analyzed the turnaround time (TAT) of blood issue and attempted to find a solution.
Methods: We evaluated the TATs for the request and preparation of blood transfusions in our hospital from January
to December 2011. The time of blood issue, from acceptance of the request to preparation in the blood bank,
was calculated from computerized medical records. In cases in which the TAT exceeded 24 hours, we investigated
the type of blood component and the cause of the delay.
Results: A total of 12,856 units of blood were issued during the study year. Of these, 1,333 units (10.4%) had
TATs exceeding 24 hours. These units included 148 units of red blood cells (RBC) (2.1%), 49 units of
leukocyte-filtered red blood cells (F-RBC) (69.0%), 92 units of fresh frozen plasma (FFP) (3.9%), six units of
cryoprecipitates (CRYO) (7.4%), 818 units of platelets (PLT) (27.1%), and 220 units of apheresis platelets (A-PLT)
(66.5%). The preparation times for PLT and A-PLT were more delayed. The cause of the delays was lack of
inventory at the blood center.
Conclusion: We recommend that the blood center keep blood products even at the risk that they will be discarded
for exceeding the expiration date. In addition, we suggest that testing of donated blood be performed within the
region.
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KEYWORD
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Turnaround time, Transfusion, Island
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