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REDUCTION IN WASTAGE OF BLOOD PRODUCT: AN INTERVENTIONAL STUDY IN A TEACHING HOSPITAL OF WEST BENGAL

Background: Poor planning and non-judicial uses of blood and blood products lead to wastage which in turn compromises the ability of a hospital to fight against any acute surgical or medical emergencies. At our Hospital the crisis in blood bank was very common and discomforting to treat emergency obstetrics cases.

Methods: To prevent that, in our hospital, we had started an interventional prospective analytical study based on a project POCQI. Wastage of blood and blood products between 01.10.17 – 31.12.17 was calculated and it was 190 bags of blood unused. Probable reasons of that wastage were tried to find out. After that, doctors, nursing staffs, other hospital staffs, and blood bank technicians were sensitized via several interactive sessions and specific blood and component requisition and transfusion protocols had been set (Intervention period 01.01.18 to 30.04.18). Proper implementation of the protocols at different levels had been followed up in regular intervals and occasional modification of protocols was done according to the situation.

Result:  At the end of the study period the reduction of wastage of blood and blood components analyzed and plotted on an analytical graph. Fifty-two (52) bags of blood were in freeze on 1st February. At the end of second month wastage was 28 bags. At the end of the third month it was 09 bags of blood wasted.

Conclusion: Result of reduction of blood & blood components wastage was surprisingly successful. A little initiative and small steps can bring a lot of change to get a fruitful result.

Keywords: Blood reserve, POCQI, Point of Care, Quality Improvement


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