European Journal of Molecular & Clinical Medicine

Abstract

Background: Medical audit forms a component of quality assurance and quality improvement in health care delivery.It is very important for a transfusion service to know exactly how many blood products it issues, as well as the disposition of every unit. In many countries, it is a legal mandate for the transfusion service to be able to account for every unit that it issues, from donor to recipient.
Objective: To evaluate ongoing transfusion services at a tertiary care centre.
Methodology: We have conducted an audit over a period of 12 months from oct 2020 to Sept  2021. The Data obtained, regarding the utilization of 5034  units of various blood components i.e. red cell concentrate, whole blood, platelets and frozen plasma (FFP) during that period, was compiled and analyzed further to evaluate the transfusion services, the pattern of blood component request and utilization.
Results: Maximum demand was received from Intensive care unit (n= 2500) followed by the department of Medicine(n=590) and followed by Surgery (n=587) Maximum  utilization of blood units was noticed in the Medicine unit with C/T ratio 1.10:1 Of total 1995 units demand for FFP & platelets, FFP demand was 56.44% (n= 1126) and platelets demand was 43.56% (n= 869). 1206 units demand for FFP resulted in transfusion in 1084 patients (average 1.11 units/ patient) with maximum demand from ICU (26.36%) followed by the department of Medicine (12.46%) .Total 869 units of platelet were transfused and the most common indication was thrombocytopenia.
Conclusion: Every health care institute must develop distinct transfusion guidelines based on the nature of emergency & routine services and the subsequent implementation of such guidelines, through the institutional transfusion committee to assure effective blood utilization is must. The Transfusion practice of the Blood bank is 100% Blood component .The practice of whole blood transfusion is abandoned.