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Dzenana Begic, Ermina Mujicic, Jozo Coric, Lejla Zunic
INTRODUCTION: The hospital blood bank (HBB) need to timely provide adequate amounts of blood and blood products for surgeries. For various surgical programs are performed assessments of the average number of blood doses needed for surgery. By using two types of requisitions BT/AB (blood type/antibody) and BT/AB/MT (blood type/antibody/match test) for pretransfusion immunohaematological testing in General Hospital "Prim. Dr. Abdulah Nakas" is achieved more rational consumption of blood and blood derivatives and financial savings through reduced number of matching tests (MT)...
July 24, 2016: Materia Socio-medica
Joseph B Rinehart, Tiffany C Lee, Kayleigh Kaneshiro, Minh-Ha Tran, Coral Sun, Zeev N Kain
BACKGROUND: As part of ongoing perioperative surgical home implantation process, we applied a previously published algorithm for creation of a maximum surgical blood order schedule (MSBOS) to our operating rooms. We hypothesized that using the MSBOS we could show a reduction in unnecessary preoperative blood testing and associated costs. STUDY DESIGN AND METHODS: Data regarding all surgical cases done at UC Irvine Health's operating rooms from January 1, 2011, to January 1, 2014 were extracted from the anesthesia information management systems (AIMS)...
April 2016: Transfusion
R A Collins, M K Wisniewski, J H Waters, D J Triulzi, L H Alarcon, M H Yazer
OBJECTIVES: To determine what percentage of red blood cell (RBC) units that were issued to the operating room (OR) were returned unused, and to determine how often all of the RBCs that were issued for a patient were returned unused using the institution's maximum surgical blood ordering schedule (MSBOS) as a guide. BACKGROUND: The MSBOS provides guidelines for blood ordering, but is merely a suggestion for the ordering clinicians. This study examined how closely ordering practices followed the MSBOS, and how often ordered RBCs were actually transfused...
December 2015: Transfusion Medicine
Kelly Graham Ural, Jacqueline Volpi-Abadie, Garrett Owen, George Gilly, Allison L Egger, Heather Scuderi-Porter
BACKGROUND: Excess ordering of blood products for surgical cases is expensive and wasteful. Evidence has shown that institution-specific versions of the Maximum Surgical Blood Order Schedule (MSBOS) lead to better ordering practices. Most MSBOSs recommend a crossmatch for a minimum of 2 units of packed red blood cells (PRBCs) for cardiac surgical cases; however, studies have shown that >50% of these patients receive no transfusions. Our aim was to create a blood order algorithm for cardiac surgical cases that would decrease unnecessary crossmatching...
March 2016: Seminars in Cardiothoracic and Vascular Anesthesia
Farheen Karim Mahar, Bushra Moiz, Mohammad Khurshid, Tabish Chawla
Over ordering of blood is a common practice for elective surgeries in many developing countries. Over a decade back, our institution-The Aga Khan University, Pakistan noticed that surgeons were making unnecessary arrangement of red cells. This was reflected in their undesirably high cross-matched to transfusion (CT) ratios. A clinical audit conducted in 1998-2000 confirmed this. This prompted the institution for designing a maximum surgical blood ordering schedule (MSBOS) in 2000 based on the retrospective usage of blood in various elective surgeries...
September 2013: Indian Journal of Hematology & Blood Transfusion
Inas H Nasr, Arathi Papineni McIntosh, Karim Hussain, Michael J Fardy
OBJECTIVE: The maximum surgical blood ordering schedule (MSBOS) has reduced but not eliminated the over-ordering and wastage of blood products. Electronic cross-matching (ECM) may be a suitable alternative method to provide blood on demand in eligible cases. The purpose of this study was to assess the department's current blood ordering policy and to identify patients eligible for ECM. STUDY DESIGN: This was a retrospective observational study of 88 consecutive maxillofacial surgical oncology patients...
November 2013: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
Steven M Frank, James A Rothschild, Courtney G Masear, Richard J Rivers, William T Merritt, Will J Savage, Paul M Ness
BACKGROUND: The maximum surgical blood order schedule (MSBOS) is used to determine preoperative blood orders for specific surgical procedures. Because the list was developed in the late 1970s, many new surgical procedures have been introduced and others improved upon, making the original MSBOS obsolete. The authors describe methods to create an updated, institution-specific MSBOS to guide preoperative blood ordering. METHODS: Blood utilization data for 53,526 patients undergoing 1,632 different surgical procedures were gathered from an anesthesia information management system...
June 2013: Anesthesiology
Thomas C Hall, Clare Pattenden, Chloe Hollobone, Cristina Pollard, Ashley R Dennison
OBJECTIVE: Preoperative over-ordering of blood is common and leads to the wastage of blood bank resources. The preoperative blood ordering and transfusion practices for common elective general surgical procedures were evaluated in our university hospital to formulate a maximum surgical blood order schedule (MSBOS) for those procedures where a cross-match appears necessary. METHODS: We evaluated blood ordering practices retrospectively in all elective general surgical procedures in our institution over a 6-month period...
February 2013: Transfusion Medicine and Hemotherapy
Kyung Il Jo, Jeong Won Shin
BACKGROUND: The Soonchunhyang University Hospital Bloodless Center was established in 2000, and more than 2,000 bloodless surgeries have been performed there since. In this study, the lowest postoperative Hb/preoperative Hb (Hblow/pre) ratio and mortality rates of patients who underwent bloodless surgery were analyzed for each maximum surgical blood order schedule (MSBOS) category to assess whether MSBOS can be used as a predictor of successful completion of bloodless surgery. METHODS: A total of 971 patients were included...
March 2013: Annals of Laboratory Medicine
Brian McWilliams, Mark H Yazer, James Cramer, Darrell J Triulzi, Jonathan H Waters
BACKGROUND: The Joint Commission has highlighted the importance of having appropriate and complete pretransfusion testing before surgery begins. The maximum surgical blood ordering schedule (MSBOS) indicates which patients require preoperative transfusion testing. We determined the number of times surgical delays were caused due to the lack of completed pretransfusion testing. STUDY DESIGN AND METHODS: All transfusion events reported through the common medical event reporting system of eight networked hospitals over a 12-month period were evaluated to determine how often patients experienced surgical delays due to not having complete pretransfusion testing...
October 2012: Transfusion
Jagdeep K Singh, Pritam Singh
INTRODUCTION: our Maximum Surgical Blood Ordering Schedule (MSBOS) recommends that blood is cross-matched prior to elective colorectal resections. National guidelines state that blood should not be cross-matched if blood usage is below 50%. Our aims were to determine compliance with local and national guidelines and assess timing of blood transfusions. PATIENTS AND METHODS: consecutive elective colorectal resections from August 2007 to December 2008 were identified retrospectively using an electronic theatre management system...
February 2011: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
Devendra Mahadevan, Christopher Challand, Andrew Clarke, Jonathan Keenan
BACKGROUND: Effective utilisation of blood products is fundamental. The introduction of maximum surgical blood ordering schedules (MSBOS) for operations has been shown to improve transfusion services. A retrospective analysis was undertaken to establish an evidence-based MSBOS for revision total hip replacement (THR) and total knee revision (TKR). The impact of this schedule on blood conservation was analysed. METHODS: A retrospective analysis was undertaken on 397 patients who underwent revision THR and TKR over a 4-year period...
May 2011: Archives of Orthopaedic and Trauma Surgery
Sammy Al-Benna, Prachi Rajgarhia
INTRODUCTION: Excess-ordering of cross-matched blood in preparation for elective surgery is expensive with associated blood shortages and time-expired wastage. Although, the maximum surgical blood order schedule (MSBOS) for breast reconstruction recommends pre-operative cross-match of 2-6 units of red cell concentrate, there is no data confirming whether this guideline is observed in practice or whether compliance results in improved outcome. The aim of this study was to examine the utility of this MSBOS in clinical practice by assessing its performance in a validation set of patients...
December 2010: Breast: Official Journal of the European Society of Mastology
Ana Oliveira, Rita Fleming, Miguel Galvão
For elective surgeries over ordering of blood is a common practice. The goal of the Maximum Surgical Blood Order Schedule (MSBOS) is to promote efficient use of blood. The purpose of this Portuguese study is to analyse the crossmatched blood units for elective surgery and the real amount of transfused blood, the crossmatch:transfusion rate (C:T) which must be less than 2.5. As in other Blood Banks, the differences are more evident in the situations in which the need for blood is very small, the so called Type and Screen...
September 2006: Acta Médica Portuguesa
B A Rogers, D J Johnstone
INTRODUCTION: This prospective audit studies the use of cross-matched blood in 301 patients over a 1-year period undergoing total knee (TKR) and total hip replacement (THR) surgery in an orthopaedic unit. PATIENTS AND METHODS: Analysis over the first 6 months revealed a high level of unnecessary cross-matched blood. The following interventions were introduced: (i) to cease routine cross-matching for THR; (ii) all patients to have a check full blood count on day 2 after surgery; and (iii) Hb < 8 g/dl to be considered as the trigger for transfusion in patients over 65 years and free from significant co-morbidity...
March 2006: Annals of the Royal College of Surgeons of England
Hitoshi Takahashi
BACKGROUND: It is said that total gastrectomy of gastric stump carcinomas is more invasive than usual total gastrectomy for gastric carcinoma. METHODS: We compared the duration of the surgeries, blood loss, transfusion, and postoperative complications between patients having undergone total gastrectomy of gastric stump carcinomas (Group A, N=9) and those having undergone usual total gastrectomy for gastric carcinomas without remarkable preoperative complication (Group B, N=9)...
January 2006: Masui. the Japanese Journal of Anesthesiology
S Jayaranee, R Prathiba, N Vasanthi, C G Lopez
BACKGROUND: The purpose of this study is to determine the efficiency of blood utilization for elective surgery at the University of Malaya Medical Centre (UMMC). A similar study conducted six years earlier in the same unit resulted in the introduction and implementation in December 1997 of the local Maximum Surgical Blood Order Schedule (MSBOS) and the Group Screen and Hold (GSH) procedure instead of a full crossmatch. This paper compares the findings of the current study with that conducted earlier...
June 2002: Malaysian Journal of Pathology
C L Foley, T Mould, J E Kennedy, D P J Barton
The objective of this study was to design and implement a maximum surgical blood order schedule (MSBOS) within a specialist gynecological oncology department in a tertiary referral center and evaluate its impact on the cross-match to transfusion ratio (CTR). A retrospective case note audit was undertaken to identify common operations performed within the unit and their transfusion requirements. The efficiency of blood usage was assessed using the CTR, and an MSBOS was devised and implemented. A prospective audit of preoperative blood cross-matching and subsequent blood usage was then performed for consecutive elective operations in the unit, to assess the effect of the MSBOS...
November 2003: International Journal of Gynecological Cancer
Gülyüz Oztürk, Selçuk Bölükbaşi, Tuğba Unsal, Murat Songür
OBJECTIVES: This retrospective study was performed to evaluate transfusions in orthopedic surgery and, in the light of our successful practice, to contribute to the development of appropriate transfusion policies in Turkey. METHODS: In this study 1,811 female patients who underwent orthopedic elective or emergency surgery from January 1997 to December 1999 (group 1) and from January 2000 to December 2002 (group 2) were retrospectively evaluated with respect to ordered and transfused blood units...
2003: Acta Orthopaedica et Traumatologica Turcica
Ken-ichi Shimizu, Ken-ichi Muroi, Mari Imai, Katsunori Asano, Makoto Tamura, Shuichi Imai
BACKGROUND: It is important for a hospital to have a well organized blood transfusion service. METHODS: Our hospital adopted the maximum surgical blood order schedule (MSBOS) and type and screen (T & S) systems in April 1999 and opened a division of transfusion therapy, thus introducing an integrated control system for blood transfusion. RESULTS: In the year (2002), the crossmatch-to-transfusion (C/T) ratio has dropped from 3.94 to 2.01, and the volume of blood transported outside the central operating room and that of waste blood have decreased...
September 2003: Masui. the Japanese Journal of Anesthesiology
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