Table 2.
Causes of blood wastage | Events n (%) | RBC components | Platelet components | Plasma components | Total units | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
WB | pRBC | Washed RBC | LR-RBC | Platelets | phPLT | LR-phPLT | FFP | FP | CRYO | n (%) | |||
Excessive ordering/inappropriate patient evaluation | 18 (16.2%) | 0 | 12 | 2 | 0 | 27 | 0 | 0 | 30 | 4 | 0 | 75 (22.3%) | |
Unable to reissue before usability period | 19 (17.1%) | 0 | 11 | 6 | 0 | 0 | 0 | 1 | 26 | 2 | 10 | 56 (16.7%) | |
Blood component order errors | 12 (10.8%) | 0 | 0 | 0 | 3 | 0 | 0 | 0 | 22 | 0 | 24 | 49 (14.6%) | |
Patient death/discharge before transfusion | 7 (6.3%) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 18 | 2 | 12 | 32 (9.5%) | |
Incorrect platelet storage temperature | 7 (6.3%) | 0 | 0 | 0 | 0 | 24 | 5 | 0 | 0 | 0 | 0 | 29 (8.6%) | |
Expired blood | 10 (9.0%) | 8 | 5 | 0 | 0 | 0 | 2 | 2 | 11 | 0 | 0 | 28 (8.3%) | |
Accidental blood bag puncture | 19 (17.1%) | 0 | 14 | 0 | 3 | 0 | 5 | 2 | 0 | 2 | 0 | 26 (7.7%) | |
Excessive warming of blood components | 10 (9.0%) | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 14 | 4 | 2 | 21 (6.3%) | |
Accidental blood bag breakage | 5 (4.5%) | 0 | 0 | 0 | 8 | 0 | 0 | 0 | 1 | 0 | 0 | 9 (2.7%) | |
Blood kept at room temperature for over 4 hours | 1 (0.9%) | 0 | 0 | 0 | 6 | 0 | 0 | 0 | 0 | 0 | 0 | 6 (1.8%) | |
No intravenous access | 1 (0.9%) | 0 | 2 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2 (0.6%) | |
Partial clotting of blood | 1 (0.9%) | 0 | 0 | 0 | 2 | 0 | 0 | 0 | 0 | 0 | 0 | 2 (0.6%) | |
Incorrect transfusion procedure | 1 (0.9%) | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 1 (0.3%) | |
Total | 111 (100.0%) | 8 | 45 | 8 | 23 | 51 | 12 | 5 | 51 | 12 | 5 | 336 (100.0%) |
One unit of whole blood contains 250 mL
WB Whole blood, pRBC Packed red blood cells, LR Leukocyte-reduced, phPLT Apheresis platelets, LR-phPLT Leukocyte-reduced apheresis platelets, FFP Fresh-frozen plasma, FP Frozen plasma, CRYO Cryoprecipitate