Analyzing ordering schedule of blood and its products in Shahid Mohammadi hospital, Bandar Abbas, Iran

Supplying healthy blood and blood products for patients is amongst the high-priority goals of every country in the world. It is evident that meeting this goal needs a large organization with ideal human resources and equipments. Improper ordering of blood by hospitals and medical centers not only increases the Iran Blood Transfusion Organization expenses, but also prevents proper distribution of blood units among the medical centers and will result in false shortage, expiration of blood and blood products, and reduction of blood quality. In this study, we decided to analyze how blood and its products are used in hospitals and also why blood is not used in various departments of the most important teaching hospital of Hormozgan Province. A total of 8523 order forms for receiving blood and its products, which have been sent to blood bank of Shahid Muhammadi Teaching Hospital within September 2011 to March 2012, were studied in this descriptive retrospective study. The collected data from the blood bank were analyzed using SPSS 16 Software. In this study, out of 8523 blood order forms, 5864 forms belonged to men (68.8%) and 2659 forms belonged to women (31.2%). A total of 21474 units of blood products including red blood cells, plasma, platelet and cryo were ordered. The total C/T for RBC measured 2.8 and its total Ti was 0.59. Results of this study show that consuming blood in contrast to standard is ideal. Maximum surgical blood ordering schedule (MSBOS) shall be designed only for parts that have a high C/T ratio and for preparing blood only determining blood group and antibody screening (T&S) were necessary.