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Year : 2009  |  Volume : 12  |  Issue : 2  |  Page : 165-168

Audit of the red cell units supply of a busy hospital blood bank in Nigeria

Department of Haematology, University College Hospital, Ibadan

Correspondence Address:
F A Fasola
Department of Haematology, University College Hospital, Ibadan

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Source of Support: None, Conflict of Interest: None

PMID: 19764667

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BACKGROUND/OBJECTIVE: Blood bank audit embraces all procedures from blood procurement to the long -term consequences of transfusion which helps to identify opportunities for improvement. We have therefore looked at red cell transfusion in our hospital to identify areas that will require improvement. METHOD: Data was collected retrospectively from the hard copy record of the blood bank for a period of one month. RESULTS: Request was made for 1210 red cell units; crossmatch was made for 64% of the request. All units crossmatched were issued, of these 4.15% were returned unutilized. 5.1% were issued as uncrossmatched. The Obstetrics/Gynaecology unit recorded the highest blood usage and the medical unit the least. The use of blood by the emergency and paediatric were the same. The crossmatch:transfusion ratio for the hospital was 0.9:1. This study has shown that the crossmatch and transfusion rates are almost equal and only a small percentage was returned unused. CONCLUSION: This showed that there is inadequate supply of blood. There is a need to assess the reason for transfusion and establishing a blood transfusion advisory committee by the hospital. This will ensure interaction and collaboration between blood suppliers and users to improve the quality of transfusion practice. The new policy establishing a national transfusion service will also improve the transfusion service but emphasis has to be put on donor recruitment and donor care.

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