The National Blood Authority wastage reduction strategy, the Australian Health Ministers Conference (2010) National Stewardship statement and the Australian Commission of Safety and Quality in Healthcare National Standards (Blood Management Standard 7) underpin the necessary focus on product wastage.

Victorian red cell waste has reduced significantly since 2014 and has been consistently lower than national wastage rates. This success is an outcome of collaboration between, engagement and support of Victorian health and pathology services. 

Blood Matters is expanding on the successes of the red blood cell wastage project.  We are increasing our waste reduction effort to include all fresh blood components.

Constant vigilance is required to ensure that our donor's precious gift is not wasted.

Current national and state fresh blood component wastage

If you are unable to view the below charts, this data is also available in a tabular format.

Red blood cell (RBC) wastage

The current national wastage target for red blood cells is: < 2.0-3.0% (annual use dependent)

Platelet wastage

The current national wastage target for platelets is: <12.0-18.0% (annual use dependent).

(Chart: Platelet wastage: Victorian and National data financial year to date)

Fresh Frozen Plasma (FFP) wastage

The current national wastage target for FFP is: <10.0% .

(Chart: FFP wastage: Victorian and National data financial year to date)

Cryoprecipitate (cryo) wastage

There is currently no national wastage target for cryoprecipitate 

(Chart: cryo wastage: Victorian and National data financial year to date)

Waste reduction strategies

The following principles and approaches have been identified as crucial to the continued reduction of blood and blood product waste in Victoria:

  • Effective inventory management is paramount to reduce expiry-related waste
  • Sharing blood fridge compliance data between health services and pathology providers is essential
  • Compliance with the BloodNet fridge module for blood fridge data recording
  • Timely movement of blood products between health services to ensure units can be transfused before expiry
  • Reducing the period of time blood may be kept following a crossmatch
  • Compliance with correct transportation methods for red cell units
  • Increasing the use of visual prompts in blood fridges, for example regarding short expiry dates
  • State wide implementation of electronic crossmatching methods
  • Simplifying procedures, production of and compliance with a maximum blood ordering schedule (MBOS)
  • Regular review of stock inventory levels
  • Ongoing collaboration between health and pathology services

STOP the Waste festive season campaign

We had a very impressive start to the festive season red cell wastage rate with the December wastage at 1.6%, below the national average of 1.9%. 

The wastage rate for February 2020 is 2.0% with the national average at 2.1%. February is traditionally when the peak wastage has occurred, so thank you everyone for your efforts in keeping this at a very respectable figure. Your commitment to ensuring the donor’s precious gift is not wasted is commendable. 

Let's all work together to continue this effort through the remainder of the year.

See Downloads for the:

  • Festive season shutdown checklist 
  • STOP the Waste infographic 

References 

National Blood Authority (2013) Wastage reduction strategy 2013-17

Australian Health Ministers’ Conference (2010) Statement on National Stewardship Expectations for the Supply of Blood and Blood Products

Australian Commission of Safety and Quality in Healthcare (2017) Standard 7: Blood Management

Australian Commission of Safety and Quality in Healthcare National Safety and Quality Health Service Standards (second edition)

National Blood Authority (2014) Managing Blood and Blood Inventory