Well, I may be lucky here in India to be a Pathologist who is Director Blood Bank, in a teaching hospital. We have 3 monthly transfusion committee meetings attended by our COO, Heads of Surgical and Medical Dept.s that use blood, the Pathology Head, and interested participants (we ask for agenda points ahead of the meeting). I present the statistcis and any important transfusion-related events, put acroos our take and any requests we have - this is then brieflly debated on and decisions taken after discussion. Though the thoughts and interests of the people who take part differ, I think such meetings are important cos they keep communication between dept/s alive... that COO in the 1st post doesn't really appreciate the importance.