Theme editorial| Volume 18, ISSUE 4, P545-551, December 1997

Should hospitals collect blood components?: No

      This paper is only available as a PDF. To read, Please Download here.


      Over the last decade, the costs of blood procurement have increased as a result of regulatory pressure and scientific progress in understanding transfusion-transmitted disease. At the same time, hospitals are under tremendous pressure to reduce costs. Hospital blood banks are evaluating different strategies, including in-house or “out-sourced” blood collection, as a means of reducing collections. These decisions, however, should be made on assessments of the total cost of a safe and reliable blood supply: recruitment, collection, donor management, testing, manufacturing/processing, quality control, inventory management, quality assurance, regulatory, overhead and availability. If all of these costs are considered, it is unlikely that cost reduction can be achieved through hospital collections.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Transfusion and Apheresis Science
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


      1. 2nd edn. AABB Annual Report, Bethesda, MD. 1995
        • Smith EN
        • Holland PV
        • Holliman SM
        • Fuller MJ
        Staff costs associated with the implemention of a comprehensive compliance program in a community blood center.
        Transfusion. 1995; 35: 679-682
        • Soumerai S
        • Salem-Schatz S
        • Avorn J
        • Casteris MS
        • Popovsky MA
        A controlled trial of educational outreach to improve transfusion practice.
        JAMA. 1993; 270: 961-966
        • McCullough J
        The nation's changing blood supply system.
        JAMA. 1993; 269: 2239-2245
        • Miskowicz J
        Cost containment through a hospital-based blood donor center.
        Pulse. 1996; 23: 3-7
        • Lackritz EM
        • Satten GA
        • Aberle-Grasse J
        Estimated risk of transmission of the human immuno-deticiency virus by screened blood in the United States.
        N Engl J Med. 1995; 333: 1721-1725
        • Cumming PD
        • Wallace EL
        • Schorr JB
        • Dodd RY
        Exposure of patients to human immunodeficiency virus through the transfusion of blood components that test antibody-negative.
        N Engl J Med. 1989; 321: 941-946