If you were in a hospital and need blood transfusion, would you choose the transfusion service that uses traditional system of holding stocks of blood, or just-in-time system? What does this tell you about JIT in other organization?
Just-in-time Blood Management system, quickly allocates the right blood product to the right patient where and when it's needed, eliminating the need to cross match and label blood products in advance and reducing blood bank and clinical staff workload , is better than traditional system
Hi, Just-in-time blood management system may be done in a hurry and may lead to adverse effect if not carefully and well done. So it better to follow the laid down procedure and screen the blood well before transfusing it to patients.
I think it depends largely on the situation of the patient at the time of transfusion.
The categories of patients we see in our facility are essentially transfusion dependent for their disease and in some instances may have to take emergent transfusions in places that are far removed from their place of primary care, e.g. during vacations.
We therefore rely more on the traditional pre-grouping and crossmatching to ensure that any new clinically significant antibod(ies) that might have formed are not missed.
The JIT protocol is probably more ideal for previously antibody screen negative individuals, with no prior history of transfusion(s) or pregnancy.