Analysis of inventory strategies for blood components in a regional blood center using process simulation

Financial cost of whole blood and blood component disposals in a Brazilian coordinating blood center

Revista Gaúcha de Enfermagem ◽

10.1590/1983-1447.2019.20190033 ◽

2019 ◽

Vol 40 ◽

Author(s):

Magali Zimmermann Covo ◽

Elaine Drehmer de Almeida Cruz ◽

Aline Batista Maurício ◽

Josemar Batista ◽

Liana Andrade Labres de Souza

Keyword(s):

Whole Blood ◽

Descriptive Statistics ◽

Blood Component ◽

Blood Components ◽

Research Committee ◽

Financial Cost ◽

Blood Center ◽

Documentary Analysis ◽

Financial Costs ◽

Ethics Research

Abstract Objective: To describe the reasons for the disposal of blood in the coordinating blood center of the State of Paraná and to estimate the financial costs resulting from potentially avoidable discards. Method: A descriptive, retrospective and documentary analysis, with data related to the period from 2010 to 2015 of a Brazilian coordinating blood center collected from a governmental database and analyzed by descriptive statistics. This study was approved by the Ethics Research Committee (CAEE 63074916.0.0000.5225). Results: 101,813 units were discarded, representing 22.3% of the total of 455,684 produced; plasma was the most discharged blood component. The main reason for discarding was lipemia (35.8%); the analysis showed that 56.9% of the disposals were considered potentially avoidable with an estimated paid value of approximately US$2 million. Conclusion: The expressive potential of avoidance of disposal of blood units and blood components highlights the importance of planning actions aiming at their best use, contributing to the reduction of amounts paid for these processes.

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Management of Hemophilia in France

Thrombosis and Haemostasis ◽

10.1055/s-0038-1647996 ◽

1976 ◽

Vol 35 (03) ◽

pp. 553-558 ◽

Cited By ~ 5

Author(s):

Jean-Pierre Allain

Keyword(s):

Home Care ◽

Replacement Therapy ◽

The Other ◽

Blood Components ◽

Careful Evaluation ◽

Viii And Ix ◽

Effective Use ◽

General Care

SummaryTwo important factors concerning the management of hemophilia in France are considered.The supply of factors VIII and IX for replacement therapy meets the current demand but as the demand increases with the development of self-infusion programs, the production will also have to increase. This can only be done through more effective use of all of the blood components and will require careful evaluation of the needs of each patient.Programs which teach self-infusion and the other aspects of home care are gradually allowing the hemophiliac and his family better understanding of the disease. These programs are developing slowly in France but must be expanded to improve the general care of all French hemophiliacs.

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