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<p>Although it is mentioned in literature that implementation of blood bank information system (BBIS) improves efficiency and quality in blood banking, to the best of our knowledge, no study has scientifically quantified the effect of BBIS implementation on these parameters. Therefore, this study was planned at a tertiary care oncology hospital in a low- and middle-income country. A pre-post observational analytical study was performed by dividing the period into two phases: Pre BBIS phase vs. Post-BBIS phase. Turnaround time (TAT) for issue of packed red blood cells (PRBC) and percentage of outdated PRBC due to expiry were analyzed to compare the quality indicators across the two phases. Operational efficiency was compared using the Workload Indicators of Staffing Needs (WISN) tool of World Health Organization. A cost-effectiveness analysis was also performed. The PRBC wastage rate in the post-BBIS phase was significantly less as compared to pre-BBIS phase (5.7% vs. 2.7%, <i>p</i> &lt; 0.001, OR 2.2). For TAT, upon multiple linear regression analysis, the mean TAT in post-BBIS was 15&#xa0;min less as compared to pre-BBIS phase (β = -15.24), however this is not statistically significant (<i>p</i> = 0.383). BBIS implementation was associated with a statistically significant increase in WISN (β= +0.580, <i>p</i> = 0.006). Savings from decreased PRBC wastage and reduced manpower requirement due to BBIS implementation translated into cost recovery of the system within 3.5 years. Our findings provide quantitative evidence of associations between BBIS and selected quality and operational efficiency indicators of blood transfusion services in a LMIC setting, suggesting potential cost-effectiveness.</p>

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A Pre-Post Evaluation of Blood Bank Information System Implementation on the Quality and Operational Efficiency of Blood Transfusion Services at A Tertiary Care Oncology Hospital

  • 期刊论文

  • 发表日期：

    2026年2月12日

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  • Naveen Bansal,
  • Charu Singh,
  • Ashish Gulia,
  • Arushi Jaiswal,
  • Rahat Brar,
  • Sankalp Sancheti,
  • Kundan Rao

摘要

Although it is mentioned in literature that implementation of blood bank information system (BBIS) improves efficiency and quality in blood banking, to the best of our knowledge, no study has scientifically quantified the effect of BBIS implementation on these parameters. Therefore, this study was planned at a tertiary care oncology hospital in a low- and middle-income country. A pre-post observational analytical study was performed by dividing the period into two phases: Pre BBIS phase vs. Post-BBIS phase. Turnaround time (TAT) for issue of packed red blood cells (PRBC) and percentage of outdated PRBC due to expiry were analyzed to compare the quality indicators across the two phases. Operational efficiency was compared using the Workload Indicators of Staffing Needs (WISN) tool of World Health Organization. A cost-effectiveness analysis was also performed. The PRBC wastage rate in the post-BBIS phase was significantly less as compared to pre-BBIS phase (5.7% vs. 2.7%, p < 0.001, OR 2.2). For TAT, upon multiple linear regression analysis, the mean TAT in post-BBIS was 15 min less as compared to pre-BBIS phase (β = -15.24), however this is not statistically significant (p = 0.383). BBIS implementation was associated with a statistically significant increase in WISN (β= +0.580, p = 0.006). Savings from decreased PRBC wastage and reduced manpower requirement due to BBIS implementation translated into cost recovery of the system within 3.5 years. Our findings provide quantitative evidence of associations between BBIS and selected quality and operational efficiency indicators of blood transfusion services in a LMIC setting, suggesting potential cost-effectiveness.