[Type and screen system for efficient use of blood on elective surgery]

Area of Science:

• Transfusion Medicine
• Healthcare Management
• Surgical Services

Background:

• Inefficient blood resource utilization is a significant challenge in healthcare.
• Elective surgeries require optimized blood management strategies.
• The Type and Screen (T & S) and Maximum Surgical Blood Order Schedule (MSBOS) are established systems for blood resource management.

Purpose of the Study:

• To evaluate the effectiveness of the Type and Screen (T & S) system and Maximum Surgical Blood Order Schedule (MSBOS) in improving blood resource efficiency.
• To assess the impact of these systems on the crossmatched to transfused (C/T) blood ratio in elective operations.

Main Methods:

• A retrospective analysis of the crossmatched to transfused (C/T) blood ratio was conducted.
• Data were collected for a one-year period before and after the adoption of T & S and MSBOS systems.
• The number of crossmatched blood units and transfused units were compared.

Main Results:

• The crossmatched to transfused (C/T) blood ratio decreased from 4.65 to 2.38 after system implementation.
• The total number of crossmatched blood units reduced from 3799 to 2511 units.
• These findings indicate a substantial improvement in blood utilization efficiency.

Conclusions:

• The Type and Screen (T & S) system and Maximum Surgical Blood Order Schedule (MSBOS) are effective in enhancing perioperative blood transfusion efficiency.
• Further detailed re-evaluation of T & S and MSBOS systems can lead to even greater blood resource optimization.
• These systems are crucial for the efficient use of blood resources in surgical settings.