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From serological to computer cross-matching in nine hospitals
1Department of Clinical Immunology, Odense University Hospital, Denmark.
Vox Sanguinis
|August 15, 1998
Summary
The Funen Transfusion Service successfully transitioned to computer cross-matching (ABCD-concept), improving blood component quality and reducing waste. This enhanced blood transfusion safety and efficiency, with over 100,000 transfusions performed without issues.
Area of Science:
- Transfusion Medicine
- Clinical Pathology
- Health Services Management
Background:
- Reorganization of the County of Funen's transfusion service initiated in 1991.
- Aims included standardizing quality, improving laboratory procedures, and reducing outdated blood units.
Purpose of the Study:
- To describe the transition from serological to computer cross-matching using the ABCD-concept.
- To detail laboratory techniques, personnel education, and computer system implementation.
- To report the outcomes and results of the implemented changes.
Main Methods:
- Implementation of a dedicated computer system for transfusion services.
- Transition of cross-match procedures from serological methods to computer-assisted (ABCD-concept).
- Comprehensive training for laboratory personnel on new techniques and systems.
Main Results:
- Over 100,000 red cell transfusions performed using ABCD-cross-matching without reported problems.
- Significant reductions observed in cross-match procedures and blood grouping workload.
- Marked decrease in the number of outdated blood components.
Conclusions:
- Computer cross-matching based on the ABCD-concept is a safe and effective method for transfusion services.
- The transition led to substantial improvements in efficiency and quality within the transfusion service.
- The reinvestment in technology facilitated significant operational enhancements and waste reduction.