S h or t age i n d i c at or s ( p age 6) Tr an s f u s i ...
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Power BI Desktop Major conclusions (Data presented: June 2021 – April 2022): Collections (page 3 & 4) • Blood collection data (page 3) represent approximately 75% of the platelet and Group O RBC collected in the US. o The fluctuations seen in the overall collection data (page 3) may be partly due to inconsistent responses to the survey by blood centers. o The overall collections, as well as the results from 14 blood centers that reported data consistently, showed the platelet, Group O+ve RBC, and Group O-ve RBC collections in April 2022 were lower compared with March 2022 (page 3 & 4). o The overall platelet wastage rate at blood centers was slightly lower in April 2022 compared with March 2022 (page 3). Transfusions (page 5) • Our data showed lower average platelet utilization, but higher average Group O+ve RBC, and Group O-ve RBC transfusion volumes for the participating hospitals in April 2022 compared with March 2022. • Hospital platelet wastage rate was higher in April compared with March 2022. Wastage rates also differ based on expiration date of platelets (e.g., short dated when received), hospital characteristics, ability to return units, cancelled procedures and inventory management systems. Shortage indicators (page 6) • The proportion of hospitals using a secondary supplier for their blood in April 2022 was lower compared with March 2022. • Only a small fraction of hospitals split platelet units to extend their inventory. • Approximately 54.55% of the participating hospitals reported not being able to split platelet units in April 2022. • The proportion of hospitals in which an incomplete RBC order that led to either a delay in patient care or a need to split units to fill transfusion orders was comparable in April 2022 with March 2022. • The proportion of hospitals in which an incomplete platelet order that led to either a delay in patient care or a need to split units to fill transfusion orders was higher in April 2022 compared with March 2022. o Approximately 20 – 38% of respondents do not track this information. Hospitals Receiving Low Yield Platelets (page 7) • The proportion of hospitals receiving low yield platelets was 16.81% in April 2022, higher compared with March 2022. Welcome to the report from the AABB Monthly Platelet and Group O survey. If you wish to explore the survey further, please see instructions for the interactive tool. Thank you to all those who responded to this survey. We hope that, over time, this survey will be an important source of data for AABB members and the larger transfusion medicine community. Please fill out the monthly survey, which should take no more than 15 minutes to complete. The more data we collect, the more accurate the results will be. 1 Please complete the permission request form to use data from this report: Click here
Transcript of S h or t age i n d i c at or s ( p age 6) Tr an s f u s i ...
Power BI Desktop
Major conclusions (Data presented: June 2021 – April 2022):Collections (page 3 & 4)• Blood collection data (page 3) represent approximately 75% of the platelet and Group O RBC collected in the US. o The fluctuations seen in the overall collection data (page 3) may be partly due to inconsistent responses to the survey by blood centers. o The overall collections, as well as the results from 14 blood centers that reported data consistently, showed the platelet, Group O+ve RBC, and Group O-ve RBC collections in April 2022 were lower compared with March 2022 (page 3 & 4). o The overall platelet wastage rate at blood centers was slightly lower in April 2022 compared with March 2022 (page 3). Transfusions (page 5)• Our data showed lower average platelet utilization, but higher average Group O+ve RBC, and Group O-ve RBC transfusion volumes for the participating hospitals in April 2022 compared with March 2022. • Hospital platelet wastage rate was higher in April compared with March 2022. Wastage rates also differ based on expiration date of platelets (e.g., short dated when received), hospital characteristics, ability to return units, cancelled procedures and inventory management systems.
Shortage indicators (page 6)• The proportion of hospitals using a secondary supplier for their blood in April 2022 was lower compared with March 2022.• Only a small fraction of hospitals split platelet units to extend their inventory. • Approximately 54.55% of the participating hospitals reported not being able to split platelet units in April 2022.• The proportion of hospitals in which an incomplete RBC order that led to either a delay in patient care or a need to split units to fill transfusion orders was comparable in April 2022 with March 2022.• The proportion of hospitals in which an incomplete platelet order that led to either a delay in patient care or a need to split units to fill transfusion orders was higher in April 2022 compared with March 2022. o Approximately 20 – 38% of respondents do not track this information.Hospitals Receiving Low Yield Platelets (page 7)• The proportion of hospitals receiving low yield platelets was 16.81% in April 2022, higher compared with March 2022.
Welcome to the report from the AABB Monthly Platelet and Group O survey. If you wish to explore the survey further, please see instructions for the interactive tool. Thank you to all those who responded to this survey. We hope that, over time, this survey will be an important source of data for AABB members and the larger transfusion medicine community. Please fill out the monthly survey, which should take no more than 15 minutes to complete. The more data we collect, the more accurate the results will be.
1Please complete the permission request form to use data from this report: Click here
Power BI Desktop
Institution Type
Count
Blood collection centerJanuaryFebruaryMarchApril
Hospital with collection facilityJanuaryFebruaryMarchApril
Hospital without collection facilityJanuaryFebruaryMarchApril
20212121
1112129
100107105113
Survey Participation
Thank you to all those who responded to this survey.
Methods:• The survey is released to more than 800 AABB member hospitals and 50 AABB member blood centers (consolidated responses were collected for blood centers operating in more than one region).• Basic collection and utilization information on platelet and Group O RBC numbers are collected.• Total platelet collection is aggregate of labeled Apheresis platelet units, Whole blood derived (WBD) platelets and Acrodose platelets. Units reported as individual WBD or prepooled Acrodose are converted to equivalent standard pooled dose.• Platelet wastage rate by blood collection center is the rate of labeled platelet wasted due to outdate per total platelets collected.• Page 4 shows the collection trends using data from 14 blood centers that have been reporting consistently.• For hospitals, platelet wastage due to outdate and other reasons is aggregated. • For hospitals, platelet wastage rate is calculated as Total Platelets wasted/(Total Platelets wasted+Total platelet Transfused) [Reference 1].• High platelet wastage rate considered as outliers (1.5 Inter Quartile Range (IQR) above Q3) are removed for this survey report.• Page 7 tracks the proportion of hospitals receiving low yield platelets.Limitations:• The survey report is a visual snapshot of survey respondents and doesn't provide national estimates.• No data imputation or weighting procedures are applied. However, AABB does accept retrospective data and will update results as new information is received. • Response rates vary between each monthly survey. However, the response rate from blood collection centers is consistent with approximately 20 centers reporting on average every month.• The survey collects wastage data for platelet units. Blood inventory management and shortage mitigation varies based on region and facility capabilities. Variation is also reported between rural and urban regions. Regional and inter-institution variation is not currently captured in this survey.Current Data:• Last updated: 6/22/2022. A new field "Year" has been added to filter 2021 and 2022 data. Members interested in providing data for past months can contact AABB via [email protected]. Reference:1. Fredrich, N., Gammon, R., Richards, C. A., & Tauer, R. (2019). PBM Metrics. Blood Wastage—Metrics Can Precede Intervention. AABB Press.
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Year
2022
Power BI Desktop
Total Platelet Collection
0.0M
0.1M
Tota
l pla
tele
t uni
ts c
olle
c…
June JulyAugust
September
October
November
DecemberJanuary
FebruaryMarch April
0.14M 0.14M0.16M 0.15M
0.14M 0.14M 0.14M 0.14M 0.14M0.15M
0.14M
Year 2021 2022
Average Platelet Wastage Rate by Collection Centers
0%
5%
Was
tage
Rat
e (%
)
June JulyAugust
September
October
November
DecemberJanuary
FebruaryMarch April
1.9%3.2% 2.8% 2.2% 2.4% 2.7%
5.2%4.3%
3.3% 3.9% 3.5%
Year 2021 2022
Platelet units
Group O Red Blood Cell (RBC)Total Group O Positive RBC Collection
0.0M
0.2M
Tota
l Gro
up O
+ve
R…
June JulyAugust
September
October
November
DecemberJanuary
FebruaryMarch April
0.25M 0.26M 0.26M 0.27M 0.25M 0.23M 0.25M 0.23M 0.24M0.26M
0.24M
Year 2021 2022
Total Group O Negative RBC Collection
0K
50K
Tota
l Gro
up O
-ve
RB…
June JulyAugust
September
October
November
DecemberJanuary
FebruaryMarch April
73K 74K 77K 76K 70K 65K 71K 68K 64K 72K 67K
Year 2021 2022
Institution Type
All
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Year
2021 2022
Power BI Desktop
Platelet Collection by 14 Blood Centers that ConsistentlyReported Data
130K
140K
Plat
elet
s Co
ll…
June JulyAugust
September
October
November
DecemberJanuary
FebruaryMarch April
133K 135K
140K
131K
136K136K133K 134K
131K140K128K
Year 2021 2022
Collection Data for 14 Blood Centers that Consistently Provided Survey Data
Group O+ve RBC Collection by 14 Blood Centers thatConsistently Reported Data
220K
240K
Tota
l Gro
up O
+ve
R…
June JulyAugust
September
October
November
DecemberJanuary
FebruaryMarch April
246K
221K
248K
221K222K
234K
223K220K
224K
239K
217K
Year 2021 2022
Group O-ve RBC Collection by 14 Blood Centers thatConsistently Reported Data
60K
70K
Tota
l Gro
up O
-ve
R…June July
August
September
October
November
DecemberJanuary
FebruaryMarch April
71K 64K72K
62K64K
67K65K 64K
62K
66K
60K
Year 2021 2022
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A total of 14 blood centers (representing approximately 60% of the blood supply) have consistently supplied survey data. The amalgamated blood collection data from these centers is shown below.
Power BI Desktop
Average Platelet Transfusion
0
200
Aver
age
Plat
elet
Tra
n…
June JulyAugust
September
October
November
DecemberJanuary
FebruaryMarch April
168.5249.7
149.4 158.4 179.9 167.6 153.8 151.8 142.5 161.2 150.7
Year 2021 2022
Platelet unitsAverage Platelet Wastage Rate by Hospitals
0%
10%
Was
tage
Rat
e (%
)
June JulyAugust
September
October
November
DecemberJanuary
FebruaryMarch April
11.2%9.2%
7.6%9.1%
6.7%
11.3% 10.5%12.0% 11.6%
10.2%
13.1%
Year 2021 2022
Group O Red Blood Cell (RBC)Average Group O Positive RBC Transfusion
0
200
400
Aver
age
Grou
p O
+ve
R…
June JulyAugust
September
October
November
DecemberJanuary
FebruaryMarch April
280.8366.8
216.1 223.9 256.4 224.6 222.2 227.2 203.3 229.9 231.4
Year 2021 2022
Average Group O Negative RBC Transfusion
0
50
100
Aver
age
Grou
p O
-ve
RB…
June JulyAugust
September
October
November
DecemberJanuary
FebruaryMarch April
78.798.0
67.8 72.1 68.257.1 58.1 62.4 57.9 62.6 64.6
Year 2021 2022
Institution Type
All
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Year
2021 2022
Power BI Desktop
Use of Secondary Supplier
0% 50% 100%Percentage
January
February
March
April
68.47%
71.19%
72.17%
74.59%
18.92%
20.34%
18.26%
18.85%
8.11%
No use of a secondary sup… Yes, 1-4 times in the … Yes, 5-10 times in t… Yes, 11 or more ti…
Hospital Low Yield Platelet Units Manufacture due toInventory Concerns
0% 50% 100%Percentage
January
February
March
April
44.95%
47.90%
48.28%
43.80%
50.46%
49.58%
49.14%
54.55%
No Unable to Split platelet u… Yes, split 1-4 units Yes, split 5-10 units Yes, split 11 or more …
An Incomplete RBC Order Resulting in a Delayed Transfusionor Component(s) Modification
0%
50%
100%
Perc
enta
ge
January February March April
56.76%68.91% 68.97% 69.67%
10.81%
7.56%
27.93% 21.85% 24.14% 24.59%
0 times/month 1-5 times/month 6-10 times/month 10 or more times/month Do not track
An Incomplete Platelet Order Resulting in a DelayedTransfusion or Component(s) Modification
0%
50%
100%
Perc
enta
ge
January February March April
56.36% 63.03% 61.21% 57.38%
10.91%13.45% 11.21% 17.21%
26.36% 21.01% 25.00% 22.95%
0 times/month 1-5 times/month 6-10 times/month 10 or more times/month Do not track
Institution Type
All
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Year, Month 2021
June July August September October November December
2022 January February March April
Power BI Desktop
Low Yield Platelets
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Hospitals Receiving Low Yield Platelet Units
0%
50%
100%%
Rec
eivi
ng L
ow Y
ield
Pla
tele
ts
January February March April
15.84% 13.39% 12.12% 16.81%
84.16% 86.61% 87.88% 83.19%
Low Yield Platelet Received Didn't Receive Low Yield Platelets
Year, Month
2021 June July August September October November December
2022 January February March April
