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Related Experiment Videos

Audit of a paediatric directed donation programme.

M I Knuckey1, E M Wood, H F Savoia

  • 1Department of Laboratory Services, Women's and Children's Health, Melbourne, Victoria, Australia.

Journal of Paediatrics and Child Health
|July 31, 2003
PubMed
Summary

A paediatric directed donation programme (DDP) shows high wastage rates and is costly. Refinements in referral appropriateness are needed to improve efficiency and reduce blood discard.

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Area of Science:

  • Paediatric Haematology
  • Transfusion Medicine
  • Public Health

Background:

  • A paediatric directed donation programme (DDP) was established in response to public demand after a HIV transmission case.
  • This audit reviews the initial 18 months of the DDP's operation.

Purpose of the Study:

  • To assess the effectiveness and efficiency of a newly instituted paediatric directed donation programme.
  • To analyze blood collection, transfusion, and wastage rates within the DDP.

Main Methods:

  • Retrospective analysis of data from February 2000 to July 2001.
  • Examined blood units requested, donated, transfused, and the use of allogeneic blood.

Main Results:

  • 125 referrals received; 89 eligible children had blood donated by compatible parents (76%).

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  • 116 units collected from 221 requested; 53% of collected units were discarded.
  • 47% of children received only directed donor blood; 12% received additional non-directed components.

    • Conclusions:

    • The paediatric DDP meets a community need but exhibits significant blood wastage.
    • The programme is resource-intensive and costly compared to non-directed blood donation.
    • Refining referral criteria is crucial to minimize wastage and improve programme efficiency.