{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T17:58:14Z","timestamp":1770746294619,"version":"3.49.0"},"reference-count":16,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,4,3]],"date-time":"2024-04-03T00:00:00Z","timestamp":1712102400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100003478","name":"Ministry of Health, Labour and Welfare","doi-asserted-by":"publisher","award":["17936085"],"award-info":[{"award-number":["17936085"]}],"id":[{"id":"10.13039\/501100003478","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Vox Sanguinis"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background and Objectives<\/jats:title><jats:p>Geographical limitations in remote island medical facilities result in excessive wastage of blood products. To address this, we explored the feasibility of a novel blood rotation system, which enables the return and redelivery of blood products to\/from the blood bank while ensuring the management of product quality, including temperature control. This study aimed to enhance the supply of blood products to these facilities.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>The Japan Red Cross Nagasaki Blood Center, Nagasaki Goto Chuoh Hospital (NGCH) and Nagasaki University Hospital collaborated to coordinate the transport and supply of red blood cell (RBC) products. Type O, RhD\u2010positive, irradiated RBC products were stored at a precise 4.0\u2009\u00b1\u20092.0\u00b0C in an active transport refrigerator (ATR). After transport from the Japan Red Cross Nagasaki Blood Center to NGCH, RBC products were held for 1\u2009week in the ATR, and unused products were returned. Eligible returned products were reissued to the Nagasaki University Hospital.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>All the returned RBC products met the redelivery criteria. Among the 103 redelivered RBC preparations, 101 bags (98.1%) were successfully used. NGCH utilized 597 RBC products and discarded 80 samples. The ATR supplied 107 type O RBC bags without any wastage. The overall wastage rate was 10.2% during the study period compared with 24.2% in the same period in the previous year.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This innovative supply and operation system ensures a consistent and secure RBC product supply to remote islands while maximizing blood product use.<\/jats:p><\/jats:sec>","DOI":"10.1111\/vox.13626","type":"journal-article","created":{"date-parts":[[2024,4,3]],"date-time":"2024-04-03T07:28:30Z","timestamp":1712129310000},"page":"548-555","source":"Crossref","is-referenced-by-count":1,"title":["Feasibility evaluation of a blood rotation system for efficient blood product utilization in remote island settings"],"prefix":"10.1111","volume":"119","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-2335-4381","authenticated-orcid":false,"given":"Kazuhiro","family":"Nagai","sequence":"first","affiliation":[{"name":"Transfusion and Cell Therapy Unit Nagasaki University Hospital  Nagasaki Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Noriyuki","family":"Tomari","sequence":"additional","affiliation":[{"name":"Department of Clinical Laboratory Nagasaki Goto Chuoh Hospital  Goto Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Satoko","family":"Egawa","sequence":"additional","affiliation":[{"name":"Japan Red Cross Nagasaki Blood Center  Nagasaki Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshito","family":"Koga","sequence":"additional","affiliation":[{"name":"Transfusion and Cell Therapy Unit Nagasaki University Hospital  Nagasaki Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hidehiro","family":"Itonaga","sequence":"additional","affiliation":[{"name":"Transfusion and Cell Therapy Unit Nagasaki University Hospital  Nagasaki Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daisuke","family":"Imanishi","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Nagasaki Goto Chuoh Hospital  Goto Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shinichiro","family":"Yoshida","sequence":"additional","affiliation":[{"name":"Department of Hematology NHO Nagasaki Medical Center  Ohmura Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ikuo","family":"Kinoshita","sequence":"additional","affiliation":[{"name":"Japan Red Cross Nagasaki Blood Center  Nagasaki Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasushi","family":"Miyazaki","sequence":"additional","affiliation":[{"name":"Transfusion and Cell Therapy Unit Nagasaki University Hospital  Nagasaki Japan"},{"name":"Department of Hematology Atomic Bomb Disease and Hibakusha Medicine Unit, Atomic Bomb Disease Institute, Nagasaki University  Nagasaki Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6950-8457","authenticated-orcid":false,"given":"Asashi","family":"Tanaka","sequence":"additional","affiliation":[{"name":"Department of Laboratory Medicine Tokyo Medical University Hachioji Medical Center  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,4,3]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"NagaiK.Research on efficient blood product management in remote island areas [in Japanese]. Research on establishing comprehensive blood transfusion management system in the region. Integrated and collaborative research report for the years 2017 to 2019 (Tanaka A). Grants for health and labor sciences research expenses: regulatory science policy research project for pharmaceuticals medical devices. 2020:53\u201360. [in Japanese]. Available from:https:\/\/mhlw\u2010grants.niph.go.jp\/system\/files\/2019\/193041\/201925002A_upload\/201925002A0008.pdf. Last accessed 24 Oct 2023."},{"key":"e_1_2_9_3_1","unstructured":"TakanashiK.Establishment of a rational transportation and management system for blood products in the blood business [in Japanese]. Research on establishing comprehensive blood transfusion management system in the region. Integrated and collaborative research report for the years 2017 to 2019 (Tanaka A). Grants for health and labor sciences research expenses: regulatory science policy research project for pharmaceuticals medical devices 2020;116\u201320. [in Japanese]. Available from:https:\/\/mhlw\u2010grants.niph.go.jp\/system\/files\/2019\/193041\/201925002A_upload\/201925002A0011.pdf. Last accessed 24 Oct 2023"},{"key":"e_1_2_9_4_1","unstructured":"Tanaka A Kitazawa J Kon M Satou T Nagura Y Fujiwara S et al.The report on the actual use of blood products in the Reiwa 2 fiscal year comprehensive survey on blood transfusion operations conducted by the JSTMCT. Available from:893323d7134252d899c08ea0ab7bd7d9.pdf (jstmct.or.jp). Last accessed 24 Oct 2023."},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.3925\/jjtc.66.619"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/voxs.12236"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1038\/520024a"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/trf.14444"},{"key":"e_1_2_9_9_1","first-page":"755","article-title":"Quality of red blood cell components packed in the ATR700 transported by a ship [in Japanese]","volume":"38","author":"Kitada K","year":"2015","journal-title":"Ketsuekijigyo"},{"key":"e_1_2_9_10_1","unstructured":"Toho Pharmaceutical Co. Ltd.The ATR700\u2010RC05\/ATR705\u2010RC05 mobile red blood cell refrigerator [in Japanese]. Available from:https:\/\/www.tohoyk.co.jp\/medical-total-support\/transport\/. Last accessed 1 Nov 2023."},{"key":"e_1_2_9_11_1","unstructured":"The Guideline for The Use of Blood Products the Ministry of Health.Labor and Welfare's Pharmaceutical and Living Hygiene Bureau [in Japanese].2019Available from:http:\/\/www.mhlw.go.jp\/new-info\/kobetu\/iyaku\/kenketsugo\/5tekisei3b.html. Last accessed 24 Oct 2023."},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/trf.14321"},{"key":"e_1_2_9_13_1","unstructured":"Ministry of Health Labour and Welfare.Act on securing quality efficacy and safety of products including pharmaceuticals and medical devices [in Japanese]. Available from:https:\/\/www.mhlw.go.jp\/web\/t_doc?dataId=81004000&dataType=0&pageNo=1. Last accessed 24 Oct 2023."},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.3925\/jjtc.68.496"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1751-2824.2008.00196.x"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1093\/ajcp\/aqw082"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/vox.12351"}],"container-title":["Vox Sanguinis"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/vox.13626","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,6,11]],"date-time":"2024-06-11T19:15:32Z","timestamp":1718133332000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/vox.13626"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,4,3]]},"references-count":16,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2024,6]]}},"alternative-id":["10.1111\/vox.13626"],"URL":"https:\/\/doi.org\/10.1111\/vox.13626","archive":["Portico"],"relation":{},"ISSN":["0042-9007","1423-0410"],"issn-type":[{"value":"0042-9007","type":"print"},{"value":"1423-0410","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,4,3]]}}}