Determining Model for Maximum Blood Request for Surgery (MSBOS) in Selective (Elective) Surgery in Imam Ali Hospital, Zahedan

Background: Nowadays, excessive blood intake is one of the most common problems in educational hospitals, causing issues such as the lack of proper distribution of blood products among centres, increases in costs and blood bank workloads. So, programs such as a Maximum Surgical Blood Ordering Schedu...

Full description

Bibliographic Details
Main Authors: Seyed Mehdi Hashemi, Seyed Hossein Soleimanzadeh Mousavi, Zeinab Tavakolikia
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2019-04-01
Series:International Journal of Hematology-Oncology and Stem Cell Research
Subjects:
Online Access:https://ijhoscr.tums.ac.ir/index.php/ijhoscr/article/view/989
_version_ 1797759904941867008
author Seyed Mehdi Hashemi
Seyed Hossein Soleimanzadeh Mousavi
Zeinab Tavakolikia
author_facet Seyed Mehdi Hashemi
Seyed Hossein Soleimanzadeh Mousavi
Zeinab Tavakolikia
author_sort Seyed Mehdi Hashemi
collection DOAJ
description Background: Nowadays, excessive blood intake is one of the most common problems in educational hospitals, causing issues such as the lack of proper distribution of blood products among centres, increases in costs and blood bank workloads. So, programs such as a Maximum Surgical Blood Ordering Schedule (MSBOS) were introduced to design a blood ordering schedule, which is a guide to normal transfusion needs for common surgical procedures.   Materials and Methods: This study was a descriptive cross-sectional study. The sampling method was designed and distributed among all sectors of the hospital. Each sector according to the demand for blood and cross-matched transfused units entered the rate of wasted and unused blood bags on the related forms. This study was performed on 1568 patients, of whom 562 (35/84%) were given blood transfusions. Results: The aim of this study was to determine the pattern for the maximum surgical blood order schedule (MSBOS) for elective surgical procedures/in elective surgery cases in Imam Ali Hospital, Zahedan. This study was performed on 1568 patients, of whom 562 (35/84%) were given blood transfusions. The mean C/T ratio was 1.61 ± 0.99, the mean TI was 0.61 ± 0.38, and the mean T index was 36.4 ± 30.16%. Conclusion: In general, only 55% of the blood units were used. Hernia surgery, thyroidectomy, and patients with renal problems had the greatest number of wasted units. Therefore, according to the results, indications of blood donation should be made correctly by health care personnel in all patients requiring a blood transfusion, and if there is an increased number of indications, packed cells are requested.
first_indexed 2024-03-12T18:51:11Z
format Article
id doaj.art-0347b499a8f44ad588f6ce537b099efe
institution Directory Open Access Journal
issn 2008-2207
language English
last_indexed 2024-03-12T18:51:11Z
publishDate 2019-04-01
publisher Tehran University of Medical Sciences
record_format Article
series International Journal of Hematology-Oncology and Stem Cell Research
spelling doaj.art-0347b499a8f44ad588f6ce537b099efe2023-08-02T07:12:51ZengTehran University of Medical SciencesInternational Journal of Hematology-Oncology and Stem Cell Research2008-22072019-04-0113210.18502/ijhoscr.v13i2.694Determining Model for Maximum Blood Request for Surgery (MSBOS) in Selective (Elective) Surgery in Imam Ali Hospital, ZahedanSeyed Mehdi Hashemi0Seyed Hossein Soleimanzadeh Mousavi1Zeinab Tavakolikia2Department of Internal Medicine, School of Medicine, Imam Ali Hospital Complex, Zahedan University of Medical Sciences, Zahedan, IranDepartment of Pediatric, School of Medicine, Imam Ali Hospital Complex, Zahedan University of Medical Sciences, Zahedan, IranGeneral Practitioner, Zahedan University of Medical Sciences, Zahedan, IranBackground: Nowadays, excessive blood intake is one of the most common problems in educational hospitals, causing issues such as the lack of proper distribution of blood products among centres, increases in costs and blood bank workloads. So, programs such as a Maximum Surgical Blood Ordering Schedule (MSBOS) were introduced to design a blood ordering schedule, which is a guide to normal transfusion needs for common surgical procedures.   Materials and Methods: This study was a descriptive cross-sectional study. The sampling method was designed and distributed among all sectors of the hospital. Each sector according to the demand for blood and cross-matched transfused units entered the rate of wasted and unused blood bags on the related forms. This study was performed on 1568 patients, of whom 562 (35/84%) were given blood transfusions. Results: The aim of this study was to determine the pattern for the maximum surgical blood order schedule (MSBOS) for elective surgical procedures/in elective surgery cases in Imam Ali Hospital, Zahedan. This study was performed on 1568 patients, of whom 562 (35/84%) were given blood transfusions. The mean C/T ratio was 1.61 ± 0.99, the mean TI was 0.61 ± 0.38, and the mean T index was 36.4 ± 30.16%. Conclusion: In general, only 55% of the blood units were used. Hernia surgery, thyroidectomy, and patients with renal problems had the greatest number of wasted units. Therefore, according to the results, indications of blood donation should be made correctly by health care personnel in all patients requiring a blood transfusion, and if there is an increased number of indications, packed cells are requested.https://ijhoscr.tums.ac.ir/index.php/ijhoscr/article/view/989MSBOS; Blood transfusion; Blood transfusion pattern
spellingShingle Seyed Mehdi Hashemi
Seyed Hossein Soleimanzadeh Mousavi
Zeinab Tavakolikia
Determining Model for Maximum Blood Request for Surgery (MSBOS) in Selective (Elective) Surgery in Imam Ali Hospital, Zahedan
International Journal of Hematology-Oncology and Stem Cell Research
MSBOS; Blood transfusion; Blood transfusion pattern
title Determining Model for Maximum Blood Request for Surgery (MSBOS) in Selective (Elective) Surgery in Imam Ali Hospital, Zahedan
title_full Determining Model for Maximum Blood Request for Surgery (MSBOS) in Selective (Elective) Surgery in Imam Ali Hospital, Zahedan
title_fullStr Determining Model for Maximum Blood Request for Surgery (MSBOS) in Selective (Elective) Surgery in Imam Ali Hospital, Zahedan
title_full_unstemmed Determining Model for Maximum Blood Request for Surgery (MSBOS) in Selective (Elective) Surgery in Imam Ali Hospital, Zahedan
title_short Determining Model for Maximum Blood Request for Surgery (MSBOS) in Selective (Elective) Surgery in Imam Ali Hospital, Zahedan
title_sort determining model for maximum blood request for surgery msbos in selective elective surgery in imam ali hospital zahedan
topic MSBOS; Blood transfusion; Blood transfusion pattern
url https://ijhoscr.tums.ac.ir/index.php/ijhoscr/article/view/989
work_keys_str_mv AT seyedmehdihashemi determiningmodelformaximumbloodrequestforsurgerymsbosinselectiveelectivesurgeryinimamalihospitalzahedan
AT seyedhosseinsoleimanzadehmousavi determiningmodelformaximumbloodrequestforsurgerymsbosinselectiveelectivesurgeryinimamalihospitalzahedan
AT zeinabtavakolikia determiningmodelformaximumbloodrequestforsurgerymsbosinselectiveelectivesurgeryinimamalihospitalzahedan