Multicenter observational study evaluating the impact of platelet transport bags on product wastage.
Transfusion
; 61(5): 1383-1388, 2021 05.
Article
en En
| MEDLINE
| ID: mdl-33569779
ABSTRACT
BACKGROUND:
Platelets are the most commonly discarded blood product in Canada, with the most common cause of in-date product loss being improper storage. Transport containers to maintain temperature and extend acceptable return time may represent a method to reduce wastage. The objective of this study was to evaluate the impact of a validated Platelet Transport Bag (PTB) on platelet wastage. STUDY DESIGN ANDMETHODS:
Thirty-six hospitals with the highest platelet discards were invited to participate in a before-after observational study. Hospitals were instructed to utilize a validated 4-h PTB for clinical situations where immediate transfusion was not planned. Five hospitals audited in-date platelet discards from July 2018 to November 2019 to characterize wastage causes. In-date platelet discard data 12 months before and after the start date for each site were analyzed to determine changes in wastage.RESULTS:
Of 36 hospital sites, 16 agreed to participate. Pre- and postdiscards were 277 and 301, respectively, for all sites combined. There were no significant before-after change in wastage rate (+0.05%, p = .51). Fifty discards were included in the detailed audit; the most common reasons were return to the blood bank after more than 60 min outside a PTB (n = 17, 34%) and return in a red cell cooler (n = 10, 20%).CONCLUSION:
Implementation of PTB did not improve wastage. Common causes of in-date discards were return after 1 h outside of a PTB and placement in a red cell cooler in error. Further research is required to investigate potential strategies to mitigate in-date platelet wastage.Palabras clave
Texto completo:
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Bases de datos:
MEDLINE
Asunto principal:
Plaquetas
/
Conservación de la Sangre
/
Residuos Sanitarios
Tipo de estudio:
Clinical_trials
/
Observational_studies
Límite:
Humans
País/Región como asunto:
America do norte
Idioma:
En
Revista:
Transfusion
Año:
2021
Tipo del documento:
Article
País de afiliación:
Canadá