We are an 800 bed hospital that transfuses in excess of 24000 products annually. We are reviewing the processes we use to report to Transfusion Practice Committee in an attempt to make it more efficient and more effective. We do not currently have a formal Blood Product Management program so all data collection and chart review falls on Transfusion Services – with chart review being the most labor intensive. We are looking for ways to streamline that process while still meeting the AABB requirements for peer review of transfusion practices of all categories of blood and components. For those facilities that are 500 beds or more, how do you perform peer review of transfusions? How do you gather information as to which charts to review? Do you choose charts by individual physician, service line, or some other method? And what do you do with those results? Any and all ideas will be greatly appreciated!