Korean J Blood Transfus.  2004 Jun;15(1):30-37.

Suggestion of Maximum Surgical Blood Order Schedule for Major Elective Surgeries in Korea

• Shin JW
• Chun BR
• Park R
• Choi TY
• Shin HB
• Lee YK
• Chang EA
• Yoon SY
• Lim CS
• Huh JY
• Lim YA

Abstract

BACKGROUND: There have been many efforts to determine maximum surgical blood order schedule (MSBOS) of elective surgery in Korea since 1980?. But most of these data were confined to single hospital, so it was somewhat irrelevant to suggest them as general data in Korea. In this study, we tried to establish MSBOS which can be suggested as substantial and objective data in our country and to increase the efficiency of limited blood products.
METHODS
From September 2003 to February 2004, we analyzed average RBC utilization for elective surgery in four university hospitals (Soonchunhyang University Hospital, Soonchunhyang University Bucheon Hospital, Korea University Ansan Hospital, Ajou University Hospital) by referring to anesthesiologic records and blood delivery sheets. Also, we established MSBOS range in operations performed more than five times in three among four hospitals.
RESULTS
Sixty-seven operations were analyzed in our study and 18 of them were performed in department of general surgery. Type and screen (T&S) was recommended in 69.8~83.6% and the percentage of operations recommended as T&S in all four hospitals was 52.2%. Operations of obstetric/gynecology, urology and otorhinolaryngology were mostly applicable to T&S.
CONCLUSION
We suggested comprehensive and substantial MSBOS range by analyzing the operations performed in four hospitals whose operation numbers ranged from 470 to 1,200 per month. It was considered that MSBOS range, which could be applicable to various hospitals, should be reestablished and enforced regularly to decrease medical cost and improve blood utility

Keyword

Maximum surgical blood order schedule (MSBOS); type and screen; blood utility

MeSH Terms

Appointments and Schedules*
Gyeonggi-do
Hospitals, University
Korea*
Otolaryngology
Urology