Incomplete blood request forms, incomplete care: Evaluation of Gaps in Blood Request forms: A prospective analysis in a tertiary care hospital
DOI:
https://doi.org/10.55629/pakjpathol.v37i1.992Abstract
Objective: To evaluate blood request forms received in the Blood Bank to ascertain their completeness
Methodology: A prospective study was done at the Blood Bank of Fauji Foundation Hospital RWP from 16 July 2025 to 20 December 2025 using non-probability sampling technique, all blood request forms received during six months from different wards were included in the analysis. Key variables assessed included demographic details, requisition number, name of patient, sign and stamp of requesting doctor, provisional diagnosis, history of transfusion reaction or any previous transfusion, type of component and unit of component requested.
Results: A total of 2,700 blood requisition forms received over a six-month period were analyzed. Parameters were grouped into administrative and clinical categories. A marked difference in completeness was observed. Administrative details demonstrated a mean incompleteness of 10.0%, whereas clinical and safety-related details showed a substantially higher mean incompleteness of 49.4%. Clinical details were ~5 times more incomplete than administrative details.
Conclusion: It is concluded that strict compliance to complete documentation of blood request forms is necessary to ensure safe blood transfusion.
Keywords: Blood request form, Transfusion medicine, Transfusion reaction
References
Afroz T, Ishra RH, Jafa AMS. Incidence and analysis of acute transfusion reactions in a hospital-based hemovigilance system at a tertiary care centre in Bangladesh: A 5-year retrospective evaluation. Glob J Transfus Med. 2022;7(2):169-73. DOI: https://doi.org/10.4103/gjtm.gjtm_57_22
Oyedeji OA, Ogbenna AA, Iwuala SO. An audit of request forms submitted in a multidisciplinary diagnostic center in Lagos. Pan Afr Med J. 2015; 20: 423. DOI:https://doi.org/10.11604/pamj.2015.20.423.5778
Noman F, Elamin R, Osman M, et al. Improving documentation quality of blood transfusion request forms: a two-cycle quality improvement initiative at a tertiary hospital in Sudan. Cureus. 2025;17(10): e94553.
DOI: https://doi.org/10.7759/cureus.94553
Nasir N, Shaikh MU, Ali N, Hussain S. Compliance of handwritten transfusion requisition form and improvement after online request: a clinical audit. J Pak Med Assoc. 2020; 70: 694-8. DOI: https://doi.org/10.5455/jpma.14958
Ahmed W, Mohamed A, Muhammed A, Ahmed KAA, Abdalla MSO, et al. Improving blood transfusion request form documentation: A quality improvement project. Cureus. 2024; 16(9): e68942. DOI https://doi.org/10.7759/cureus.68942
Addisu B, Kelem A, Hirigo AT. Request format and phlebotomy practice in hematology tests at Hawassa University Comprehensive Specialized Hospital in Sidama Zone, Southern Ethiopia. Pathol Lab Med Int. 2023; 15: 83-9.
DOI: https://doi.org/10.2147/PLMI.S439227
Kar YD, Yildirgan DO, Aygun B, Erdogmus D, Altinkaynak K. Retrospective evaluation of acute transfusion reactions in a tertiary hospital in Erzurum, Turkey. North Clin Istanb. 2021; 8(3):261–268. DOI: https://doi.org/10.14744/nci.2020.76258
Islam N, et al. Frequency and nature of transfusion-related adverse reactions in patients admitted to a tertiary care hospital. Bangladesh J Med. 2022; 33 (1): 27-33. DOI: https://doi.org/10.3329/bjm.v33i1.56786
Sahoo D, Joy A, Basavarajegowda A. Incidence of adverse transfusion reaction and practices for its prevention. Haematol Int J. 2021; 5: 183. DOI: https://doi.org/10.23880/hij-16000183
Chandrasekar M, Balakrishnan V, Ponnaiyan A, Ramachandran T. Audit of clinical use of blood products in a tertiary care hospital. J Hematol Allied Sci. 2021; 1(1): 22-7. Available from: https://jhas-bsh.com/view-pdf/?article=8c1f50d5d3 9ac2931a9e3b4315b384265R8eHrOCT1w=
Pandey P, Setya D, Mirza SM, Singh MK. Prospective audit of blood transfusion request forms and continuing medical education to optimise compliance of clinicians in a hospital setting. Transfus Med. 2021; 31(1): 16-23. DOI: https://doi.org/10.1111/tme.12722
Saeed N, Akhtar A, Faiq-Un-Nisa. Retrospective analysis of blood requisition forms at a tertiary care hospital. SZMC J. 2024; 38(4): 301-4. DOI: https://doi.org/10.47489/szmc.v38i4.489
Ghazanfer S, Aziz M, Mahmood HO, Rafi S. Haemovigilance: Role and importance of blood request forms in routine hospital practice. Prof Med J. 2020; 27(8): 1686-91. DOI: https://doi.org/10.29309/TPMJ/2020.27.08.4523
Quader MA, Islam QT. Analysis of blood request form and blood utilization pattern in a tertiary care specialized hospital. Bangladesh J Med. 2022; 33(3): 236-42. DOI: https://doi.org/10.3329/bjm.v33i3.61371
Duraiswami R, Gaiki VV. Evaluation of completeness of hematology requisition forms leading to preanalytical errors in a tertiary care teaching hospital laboratory. J Datta Meghe Inst Med Sci Univ. 2022; 17(3): 676-9. DOI: https://journals.lww.com/dmms/fulltext/2022/17030/evaluation_of_completeness_of_hematology.29.aspx
Biswas DA, Wasim M, Bhuiyan HA, Rashid-Un-Nabi QM. Evaluation of blood requisition forms submitted to transfusion medicine department of a tertiary care hospital in Dhaka, Bangladesh. Sir Salimullah Med Coll J. 2022; 30: 142-7. DOI: https://doi.org/10.3329/ssmcj.v30i2.61930
Moiz B, Siddiqui AK, Sana N, Sadiq MW, Karim F, Ali N. Documentation errors in transfusion chain: challenges and interventions. Transfus Apher Sci. 2020; 59(4): 102812. DOI: https://doi.org/10.1016/j.transci.2020.102812
Jiang L, Zhang G, Hao K, Xiang W, Zhang Q, Xie Y, et al. Electronic transfusion consent and blood delivering pattern improve blood bank management in China. BMC Health Serv Res. 2022; 22(1): 561. DOI: https://doi.org/10.1186/s12913-022-07825-6
de Jonge LL, Wiersum-Osselton JC, Bokhorst AG, Schipperus MR, Zwaginga JJ. Haemovigilance: current practices and future developments. Ann Blood. 2022;7:6918. doi:10.21037/aob-22-2.
Borchardt AC, Azevedo-Silva F, Amorim Filho LM. Blood component requests at an orthopedic hospital: A critical survey. Hematol Transfus Cell Ther. 2020; 42(1): 25-32. DOI: https://doi.org/10.1016/j.htct.2019.01.001
Sheikholeslami H, Kani C, Abed PF, Lalooha F, Mohammadi N. Transfusion audit of blood products using the World Health Organization basic information sheet in Qazvin, Islamic Republic of Iran. East Mediterr Health J. 2010; 16(12): 1261-7. DOI: https://doi.org/10.26719/2010.16.12.1257
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