title: [New blood transfusion system of the Saku Central Hospital--present conditions and problems].
abstract: BACKGROUND
  It is important for a hospital to have a well organized blood transfusion service.
  
  
  METHODS
  Our hospital adopted the maximum surgical blood order schedule (MSBOS) and type and screen (T & S) systems in April 1999 and opened a division of transfusion therapy, thus introducing an integrated control system for blood transfusion.
  
  
  RESULTS
  In the year (2002), the crossmatch-to-transfusion (C/T) ratio has dropped from 3.94 to 2.01, and the volume of blood transported outside the central operating room and that of waste blood have decreased.
  
  
  CONCLUSIONS
  The new systems are instrumental in saving preoperatively prepared blood and exercising its qualitative control. From now on, our task is to improve measures to cope with cases of transfusion in excess of MSBOS and reevaluate MSBOS on a regular basis.
authors.affiliation: Department of Anesthesia, Saku Central Hospital, Nagano 384-0301.
authors.forename: Ken-ichi
authors.initials: K
authors.lastname: Shimizu
authors.forename: Ken-ichi
authors.initials: K
authors.lastname: Muroi
authors.forename: Mari
authors.initials: M
authors.lastname: Imai
authors.forename: Katsunori
authors.initials: K
authors.lastname: Asano
authors.forename: Makoto
authors.initials: M
authors.lastname: Tamura
authors.forename: Shuichi
authors.initials: S
authors.lastname: Imai
mesh_terms: D001788:Blood Grouping and Crossmatching / Q000706:statistics & numerical data; D001803:Blood Transfusion / Q000592:standards* / Q000706:statistics & numerical data*; D006750:Hospital Distribution Systems; D006801:Humans; D007564:Japan; D011786:Quality Control; D013514:Surgical Procedures, Operative