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Leslie E. Silberstein, MD; Margot S. Kruskall, MD; Linda C. Stehling, MD; Marilyn F. M. Johnston, MD, PhD; Roanne C. Rutman, RN(CNAA), MA; Concepcion T. Samia, MT(ASCP)SBB; Glenn Ramsey, MD; Richard S. Eisenstaedt, MD

JAMA. 1989;262(14):1993-1997.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

WITH the increased awareness of transfusion-associated human immunodeficiency virus infection, blood transfusion therapy has become an issue of increasing concern to both the general public and to health practitioners. Several measures have already been instituted to reduce the risk of transfusion-related infections: (1) improved screening procedures, (2) early detection of infectious donors by serological methods, (3) institution of confidential donor self-deferral, and (4) inactivation of viruses in some blood products with solvents and detergents.

Although these measures have improved the quality of the blood supply, several important issues, such as other medical complications of blood transfusions, the conservation of limited resources, and cost, remain. Consequently, hospital transfusion committees have been widely used as one mechanism of monitoring blood use by peer review. The Joint Commission on Accreditation of Healthcare Organizations, in Chicago, Ill, has emphasized that the intent of blood use review is, in addition to monitoring transfusion activity, to also . . . [Full Text PDF of this Article]

Author Affiliations
From the Hospital of the University of Pennsylvania, Philadelphia (Dr Silberstein); Beth Israel Hospital, Harvard Medical School, Boston, Mass (Dr Kruskall); the University of New Mexico Hospital, Albuquerque (Dr Stehling); The University Hospital, St Louis, Mo (Dr Johnston); American Red Cross, Missouri-Illinois Region, St Louis (Ms Rutman); Southwest Florida Blood Bank, Tampa (Ms Samia); Central Blood Bank, Pittsburgh, Pa (Dr Ramsey); and Temple University Hospital, Philadelphia (Dr Eisenstaedt). All of the authors are members of the Transfusion Practices Committee of the American Association of Blood Banks, Arlington, Va.

Footnotes
Reprint requests to Blood Bank and Transfusion Medicine Section, Hospital of the University of Pennsylvania, 3400 Spruce St, Philadelphia, PA 19104-4283 (Dr Silberstein).

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