Evaluation of Cross Match to Transfusion Ratio as a Tool of Quality Working In Tertiary Care Transfusion Services
Objective: To evaluate the cross match to transfusion (CT) ratio, transfusion probability (%TP), and transfusion index (Ti) of packed red cells as a tool of quality working in the blood bank. Study Design: Descriptive observational study. Place and Duration of Study: This study was carried out from...
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| Format: | Article |
| Language: | English |
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Riphah International University, Islamabad
2025-07-01
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| Series: | Journal of Islamic International Medical College |
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| Online Access: | https://journals.riphah.edu.pk/index.php/jiimc/article/view/2359 |
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| author | Rabiah Asghar, Ayesha Junaid |
| author_facet | Rabiah Asghar, Ayesha Junaid |
| author_sort | Rabiah Asghar, Ayesha Junaid |
| collection | DOAJ |
| description | Objective: To evaluate the cross match to transfusion (CT) ratio, transfusion probability (%TP), and transfusion index (Ti) of packed red cells as a tool of quality working in the blood bank.
Study Design: Descriptive observational study.
Place and Duration of Study: This study was carried out from all indoor patient departments and blood bank over a 06 month period, from April 2024 to October 2024 at Shifa International Hospital.
Materials and Methods: After receiving Institutional Review Board approval,
the sample size was calculated using the WHO Calculator 2.0, data was collected through blood bank (HMIS) and department wise CT ratio, TP% and TI were calculated, entered and analysed using SPSS version 26.
Results: 527 packed red cell products (RCC) were prepared after cross-matching, 198 (38%) were transfused, leaving 329(62%) unused with an overall cross CT of 2.6. These results showed that overall CT of blood bank was very close to target CT ratio . Departmental variations were observed, with surgery having a CT ratio of 2.1 indicating significant blood usage while Gynecology/Obstetrics and Liver transplant having 6.6, indicating overrequesting
of blood products.
Conclusion:The study found that blood usage is generally acceptable, with a CT ratio of 2.6. However, significant variation was seen across departments: the surgical department had an efficient CT ratio of 2.1, while Gynecology/Obstetrics and Liver Transplant showed higher ratios (6.6), pointing to possible over-ordering and wastage. The results emphasize the need for targeted approaches, including department-specific protocols and regular audits, to optimize blood utilization. |
| format | Article |
| id | doaj-art-5212c816eaea4bf1a1e69771a59cd471 |
| institution | DOAJ |
| issn | 1815-4018 2410-5422 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Riphah International University, Islamabad |
| record_format | Article |
| series | Journal of Islamic International Medical College |
| spelling | doaj-art-5212c816eaea4bf1a1e69771a59cd4712025-08-20T02:43:43ZengRiphah International University, IslamabadJournal of Islamic International Medical College1815-40182410-54222025-07-0120286902756Evaluation of Cross Match to Transfusion Ratio as a Tool of Quality Working In Tertiary Care Transfusion ServicesRabiah Asghar, Ayesha Junaid0https://orcid.org/0009-0001-3985-7824Shifa International Hospital, IslamabadObjective: To evaluate the cross match to transfusion (CT) ratio, transfusion probability (%TP), and transfusion index (Ti) of packed red cells as a tool of quality working in the blood bank. Study Design: Descriptive observational study. Place and Duration of Study: This study was carried out from all indoor patient departments and blood bank over a 06 month period, from April 2024 to October 2024 at Shifa International Hospital. Materials and Methods: After receiving Institutional Review Board approval, the sample size was calculated using the WHO Calculator 2.0, data was collected through blood bank (HMIS) and department wise CT ratio, TP% and TI were calculated, entered and analysed using SPSS version 26. Results: 527 packed red cell products (RCC) were prepared after cross-matching, 198 (38%) were transfused, leaving 329(62%) unused with an overall cross CT of 2.6. These results showed that overall CT of blood bank was very close to target CT ratio . Departmental variations were observed, with surgery having a CT ratio of 2.1 indicating significant blood usage while Gynecology/Obstetrics and Liver transplant having 6.6, indicating overrequesting of blood products. Conclusion:The study found that blood usage is generally acceptable, with a CT ratio of 2.6. However, significant variation was seen across departments: the surgical department had an efficient CT ratio of 2.1, while Gynecology/Obstetrics and Liver Transplant showed higher ratios (6.6), pointing to possible over-ordering and wastage. The results emphasize the need for targeted approaches, including department-specific protocols and regular audits, to optimize blood utilization.https://journals.riphah.edu.pk/index.php/jiimc/article/view/2359blood typing, cross matching, red cells. |
| spellingShingle | Rabiah Asghar, Ayesha Junaid Evaluation of Cross Match to Transfusion Ratio as a Tool of Quality Working In Tertiary Care Transfusion Services Journal of Islamic International Medical College blood typing, cross matching, red cells. |
| title | Evaluation of Cross Match to Transfusion Ratio as a Tool of Quality Working In Tertiary Care Transfusion Services |
| title_full | Evaluation of Cross Match to Transfusion Ratio as a Tool of Quality Working In Tertiary Care Transfusion Services |
| title_fullStr | Evaluation of Cross Match to Transfusion Ratio as a Tool of Quality Working In Tertiary Care Transfusion Services |
| title_full_unstemmed | Evaluation of Cross Match to Transfusion Ratio as a Tool of Quality Working In Tertiary Care Transfusion Services |
| title_short | Evaluation of Cross Match to Transfusion Ratio as a Tool of Quality Working In Tertiary Care Transfusion Services |
| title_sort | evaluation of cross match to transfusion ratio as a tool of quality working in tertiary care transfusion services |
| topic | blood typing, cross matching, red cells. |
| url | https://journals.riphah.edu.pk/index.php/jiimc/article/view/2359 |
| work_keys_str_mv | AT rabiahasgharayeshajunaid evaluationofcrossmatchtotransfusionratioasatoolofqualityworkingintertiarycaretransfusionservices |