Evaluation of the blood usage and wastage in Kerman hospitals

Every single donated blood unit is a valuable capital. The aim of this study is to evaluate the rate of blood consumption in Kerman hospitals and suggest solutions to reduce the blood wastage. This 4-year study evaluates the blood usage and wastage in three selected Kerman hospitals one affiliated to a university hospital، the other to the Social Security Organization، and the last to the private sector. The average usage of pack RBCs is higher than other products in the three hospitals: the university hospital 4190. 25 ± 765. 66 units per year، the Social Security Organization affiliated hospital 1660. 75 ± 162. 31 units per year، and the private hospital 231. 8 ± 62. 9 units per year. Annually، in the university hospital the average request of blood per active bed is 15. 09 units/bed and the average usage is 14. 8 units/bed; cross matched to transfused blood (C/T) rate is not detectable due to inappropriate cross match registry in the university hospital. In the Social Security Organization affiliated hospital، the average blood request is 6. 1 units/bed and the average blood usage is 4. 9 units/bed; the C/T ratio is 1. 6. In the private hospital، the average blood request is 5. 2 units/bed and the average blood usage is 4. 4 units/bed; the C/T ratio is 2. 9. The evidence shows that the blood usage in Kerman hospitals is approximately similar to the global standards. Since the preparation of a blood unit costs a lot of financial and intellectual charges، improving blood usage based on international standards is necessary.