NewbieBB Posted September 15 Share Posted September 15 What problems do you encounter in transfusion services that is good to be topic of study/research? Link to comment Share on other sites More sharing options...
Yanxia Posted Sunday at 10:21 AM Share Posted Sunday at 10:21 AM (edited) We have encountered a patient who produced auto anti-A(or A1,sorry I didn't identify it). Edited Sunday at 10:22 AM by Yanxia typo Link to comment Share on other sites More sharing options...
Neil Blumberg Posted Tuesday at 12:33 PM Share Posted Tuesday at 12:33 PM (edited) I would like to see studies as to why transfusion services continue to provide ABO non-identical transfusions when they have ABO identical components in stock. ABO mismatched red cells (so-called universal donor group O red cells), platelets and plasma (so-called universal donor AB plasma) have all been associated in randomized trials (platelets) and observational studies (red cells and plasma) with increased mortality, bleeding and other dire complications. Why has an entire specialty failed to take notice of data that contradict long standing dogma? What can be done to improve this performance and reduce suffering, morbidity and mortality amongst our patients? This is particularly important because ABO non-identical platelets may actually make hemostasis worse, and thus no transfusion is likely better than an ABO non-identical platelet transfusion, as one example. Edited Tuesday at 12:53 PM by Neil Blumberg John C. Staley 1 Link to comment Share on other sites More sharing options...
Jsbneg Posted Wednesday at 09:46 PM Share Posted Wednesday at 09:46 PM I'm all for the concept of quality and the strive to provide the safest blood products to patients, but I won't deny that sometimes many of our current practices in blood banking in terms of achieving that "quality" seems excessive, unnecessary, and sometimes it feels like a mere quality charade for inspectors and regulators. Considering the hight cost that blood banks have to incur to meet all quality regulations, it may be worth studying the financial impact of the many quality measures that regulate the practice of blood banking and to what extent these measures are actually contributing to achieving the quality needed to provide the best blood products to patients. Marilyn Plett, Malcolm Needs and BankerGirl 2 1 Link to comment Share on other sites More sharing options...
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