The Crossmatch/Issue Ratio:  Use of a Novel Quality Indicator and Results of an International Survey on RBC Crossmatching and Issuing Practices

Mark H Yazer, Ramir Alcantara, Pouneh Beizai, Nicole L Draper, Sarah K Harm, Jose M Kutner, David Lin, Ryszard Poglod, Thomas S Rogers, Claess H Sørensen, Ulrik Sprogøe, Julie Welbig, Joyce Yuen, Alyssa Ziman, Biomedical Excellence for Safer Transfusion (BEST) Collaborative

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Abstract

OBJECTIVES: To understand the worldwide scope of RBC crossmatching and issuing practices and measure efficiency using a novel quality indicator, the crossmatch/issue (C/I) ratio.

METHODS: An electronic survey was disseminated to hospital transfusion services collecting details about RBC crossmatching and issuing practices. Respondents were asked to enumerate the number of RBCs crossmatched and issued at their institutions during the 2014 calendar year to calculate the C/I ratio.

RESULTS: Fifty-two survey responses were received, mostly from North American transfusion services (28/52, 54%). The electronic crossmatch was the most common technique (n = 29), and most respondents performed the crossmatch at the time that an order for RBCs was received in the transfusion service (even if an order to issue the RBCs was not received). Data to calculate the C/I ratio were supplied by 22 respondents, and the mean ± SD was 1.30 ± 0.34. There was no difference in C/I ratios between services that use the electronic or serologic crossmatch techniques (P = .49). The ratio was the same at the four sites that crossmatch RBCs at the time of issue compared with the time of order receipt (mean ± SD, 1.11 ± 0.09 vs. 1.35 ± 0.36, respectively; P = .19).

CONCLUSIONS: Electronic crossmatching is common, and the C/I ratio can be an indicator of efficiency.

Original languageEnglish
JournalAmerican Journal of Clinical Pathology
Volume146
Issue number2
Pages (from-to)238-243
ISSN0002-9173
DOIs
Publication statusPublished - 2016

Keywords

  • Blood Grouping and Crossmatching
  • Erythrocyte Transfusion
  • Humans
  • Medical Records Systems, Computerized
  • Quality Assurance, Health Care
  • Surveys and Questionnaires
  • Journal Article

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