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Implementation of a blood bank generated tube for second blood group determination: Challenges, yield, and cost

BACKGROUND: The second blood group determination or group check sample is a process of verifying the ABO group with a second blood sample prior to transfusion. It has been used to detect errors related to wrong blood in tube (WBIT) events and reduce the risk of ABO‐incompatible transfusions. To prev...

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Autores principales: Obaidallah, Noora, Downie, Helen, Colavecchia, Connie, Callum, Jeannie, Lin, Yulia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley & Sons, Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9304256/
https://www.ncbi.nlm.nih.gov/pubmed/35213739
http://dx.doi.org/10.1111/trf.16838
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author Obaidallah, Noora
Downie, Helen
Colavecchia, Connie
Callum, Jeannie
Lin, Yulia
author_facet Obaidallah, Noora
Downie, Helen
Colavecchia, Connie
Callum, Jeannie
Lin, Yulia
author_sort Obaidallah, Noora
collection PubMed
description BACKGROUND: The second blood group determination or group check sample is a process of verifying the ABO group with a second blood sample prior to transfusion. It has been used to detect errors related to wrong blood in tube (WBIT) events and reduce the risk of ABO‐incompatible transfusions. To prevent the clinical team from collecting the group check sample at the same time as the first sample, a tan top tube only available from the blood bank was introduced for second blood group determinations if drawn within 24 h of the first group and screen. STUDY DESIGN AND METHODS: This is a retrospective study analyzing data from 2005 to 2020 before and after the implementation of the blood bank supplied tan top tube for group check. The number of WBIT events, transfusion delays, and health care costs were determined. RESULTS: The number of WBIT events remained unchanged throughout the time period. No delays in transfusion or procedure were reported due to the tan top tube group check. There was no increase in group O transfusions over time. In comparison to using an ethylenediaminetetraacetic acid (EDTA) tube, the tan top tube was estimated to add an extra yearly cost of $790.79 Canadian dollars. CONCLUSION: Second blood group determination using the blood bank supplied tan top tube did not increase the number of WBIT events detected but ensured an independent sample draw. A minimal incremental cost of implementing the tan top tube was noted with no delay in transfusions or procedures.
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spelling pubmed-93042562022-07-28 Implementation of a blood bank generated tube for second blood group determination: Challenges, yield, and cost Obaidallah, Noora Downie, Helen Colavecchia, Connie Callum, Jeannie Lin, Yulia Transfusion Transfusion Medicine BACKGROUND: The second blood group determination or group check sample is a process of verifying the ABO group with a second blood sample prior to transfusion. It has been used to detect errors related to wrong blood in tube (WBIT) events and reduce the risk of ABO‐incompatible transfusions. To prevent the clinical team from collecting the group check sample at the same time as the first sample, a tan top tube only available from the blood bank was introduced for second blood group determinations if drawn within 24 h of the first group and screen. STUDY DESIGN AND METHODS: This is a retrospective study analyzing data from 2005 to 2020 before and after the implementation of the blood bank supplied tan top tube for group check. The number of WBIT events, transfusion delays, and health care costs were determined. RESULTS: The number of WBIT events remained unchanged throughout the time period. No delays in transfusion or procedure were reported due to the tan top tube group check. There was no increase in group O transfusions over time. In comparison to using an ethylenediaminetetraacetic acid (EDTA) tube, the tan top tube was estimated to add an extra yearly cost of $790.79 Canadian dollars. CONCLUSION: Second blood group determination using the blood bank supplied tan top tube did not increase the number of WBIT events detected but ensured an independent sample draw. A minimal incremental cost of implementing the tan top tube was noted with no delay in transfusions or procedures. John Wiley & Sons, Inc. 2022-02-25 2022-04 /pmc/articles/PMC9304256/ /pubmed/35213739 http://dx.doi.org/10.1111/trf.16838 Text en © 2022 The Authors. Transfusion published by Wiley Periodicals LLC on behalf of AABB. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Transfusion Medicine
Obaidallah, Noora
Downie, Helen
Colavecchia, Connie
Callum, Jeannie
Lin, Yulia
Implementation of a blood bank generated tube for second blood group determination: Challenges, yield, and cost
title Implementation of a blood bank generated tube for second blood group determination: Challenges, yield, and cost
title_full Implementation of a blood bank generated tube for second blood group determination: Challenges, yield, and cost
title_fullStr Implementation of a blood bank generated tube for second blood group determination: Challenges, yield, and cost
title_full_unstemmed Implementation of a blood bank generated tube for second blood group determination: Challenges, yield, and cost
title_short Implementation of a blood bank generated tube for second blood group determination: Challenges, yield, and cost
title_sort implementation of a blood bank generated tube for second blood group determination: challenges, yield, and cost
topic Transfusion Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9304256/
https://www.ncbi.nlm.nih.gov/pubmed/35213739
http://dx.doi.org/10.1111/trf.16838
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