{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T20:14:22Z","timestamp":1790367262580,"version":"4.1.0"},"reference-count":49,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2020,11,18]],"date-time":"2020-11-18T00:00:00Z","timestamp":1605657600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Transfusion"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The availability of a safe blood supply is a key component of transfusion medicine. A decade of decreased blood use, decreased payment for products, and a dwindling donor base have placed the sustainability of the US blood supply at risk.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design and Methods<\/jats:title>\n                    <jats:p>A literature review was performed for blood center (BC) and hospital disaster management, chronically transfusion\u2010dependent diseases, and appropriate use of group O\u2010negative red blood cells (RBCs), and the Choosing Wisely campaign. The aim was to identify current practice and to make recommendations for BC and hospital actions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>While BCs are better prepared to handle disasters than after the 9\/11 attacks, messaging to the public remains difficult, as donors often do not realize that blood transfused during a disaster was likely collected before the event. BCs and transfusion services should participate in drafting disaster response plans. Hospitals should maintain inventories adequate for patients in the event supply is disrupted. Providing specialty products for transfusion\u2010dependent patients can strain collections, lead to increased use of group O RBCs, and create logistical inventory challenges for hospitals. The AABB Choosing Wisely initiative addresses overuse of blood components to optimally use this precious resource. Group O\u2010negative RBCs should be transfused only to patients who truly need them.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Collecting and maintaining a blood supply robust enough to handle disasters and transfusion\u2010dependent patients in need of specialty products is challenging. Collaboration of all parties should help to optimize resources, ensure appropriate collections, improve patient care, and ultimately result in a robust, sustainable blood supply.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/trf.16145","type":"journal-article","created":{"date-parts":[[2020,11,18]],"date-time":"2020-11-18T17:30:39Z","timestamp":1605720639000},"page":"294-302","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":48,"title":["Maintaining adequate donations and a sustainable blood supply: Lessons learned"],"prefix":"10.1111","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1175-9579","authenticated-orcid":false,"given":"Richard R.","family":"Gammon","sequence":"first","affiliation":[{"name":"Scientific Medical and Technical Direction, OneBlood, Inc.  Orlando Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lizabeth","family":"Rosenbaum","sequence":"additional","affiliation":[{"name":"Vitalant  Albuquerque New Mexico USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rhonda","family":"Cooke","sequence":"additional","affiliation":[{"name":"Missouri Baptist Medical Center  St. Louis Missouri USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Friedman","sequence":"additional","affiliation":[{"name":"Transfusion Service, NYU Winthrop Hospital  Mineola New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linda","family":"Rockwood","sequence":"additional","affiliation":[{"name":"New England Baptist Hospital  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tracie","family":"Nichols","sequence":"additional","affiliation":[{"name":"Blood Bank, West Virginia University Hospitals  Morgantown West Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8161-4888","authenticated-orcid":false,"given":"Sarah","family":"Vossoughi","sequence":"additional","affiliation":[{"name":"Department of Pathology &amp; Cell Biology Columbia University  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,11,18]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsb1706496"},{"key":"e_1_2_8_3_1","volume-title":"Healthcare Cost and Utilization Project (HCUP) Statistical Briefs","author":"West KA","year":"2016"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/vox.12070"},{"key":"e_1_2_8_5_1","volume-title":"Toward a Sustainable Blood Supply in the United States: An Analysis of the Current System and Alternatives for the Future","author":"Mulcahy AW","year":"2016"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2017.20121"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2016.9185"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200202213460813"},{"key":"e_1_2_8_9_1","unstructured":"GaulGM FlahertyMP.Red cross kept asking for more: 5% of blood given after attacks was discarded: Donor backlash feared.Washington Post. 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