The College of American Pathologists did a survey and published it QProbe 1996 that studied 600 major medical centers discussing blood utilization. Even though the survey is now eight years old, many of the conclusions are still valid. I highly recommend you review this document. One of the many interesting points made was that many patients who participated in PABD actually increased the probability of receiving allogeneic bank blood. The solution to this problem is the initiation of a Perioperative Blood Management Program that creates an appropriate balance in its system for both allogeneic and autologous products. Once the program is developed, the surgeons and anesthesiologists should be educated as to the most appropriate Tx options. My program has reduced an 80% Discard Rate to less than 25%. It Works! K.C. Roberts, MS, CP, CCA