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J R Soc Med. 1991 October; 84(10): 600–601.
PMCID: PMC1295556

Conserving blood in preparation for elective surgery.


A prospective study was carried out for a period of 6 months (September 1987 to 28 February 1988) to evaluate the possible misuse of blood transfusion service in the department of surgery, Amiri Teaching Hospital, Kuwait. There was a monthly wastage of 45 +/- 13 units of blood. Five hundred and eleven units of blood were crossmatched but never transfused. The time taken by the blood bank technicians in crossmatching blood which was never used amounted to 54.4% of the normal working hours. An annual loss of about US$25000.00 was calculated to have occurred.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Friedman BA. An analysis of surgical blood use in United States hospitals with application to the maximum surgical blood order schedule. Transfusion. 1979 May-Jun;19(3):268–278. [PubMed]
  • Smallwood JA. Use of blood in elective general surgery: an area of wasted resources. Br Med J (Clin Res Ed) 1983 Mar 12;286(6368):868–870. [PMC free article] [PubMed]
  • Mintz PD, Lauenstein K, Hume J, Henry JB. Expected hemotherapy in elective surgery. A follow-up. JAMA. 1978 Feb 13;239(7):623–625. [PubMed]
  • Pathi VL, Ghosh S, Cuschieri A. It's Scotland's blood, so why waste it? A survey of blood ordering habits in the Tayside Region. J R Coll Surg Edinb. 1987 Apr;32(2):69–71. [PubMed]
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  • Napier JA, Biffin AH, Lay D. Efficiency of use of blood for surgery in south and mid Wales. Br Med J (Clin Res Ed) 1985 Sep 21;291(6498):799–801. [PMC free article] [PubMed]
  • Dodsworth H, Dudley HA. Increased efficiency of transfusion practice in routine surgery using pre-operative antibody screening and selective ordering with an abbreviated crossmatch. Br J Surg. 1985 Feb;72(2):102–104. [PubMed]

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