Challenges in the management of the blood supply

摘要: Summary Although blood suppliers are seeing short-term reductions in demand as a result of initiatives patient management, modelling suggests that during the next 5–10 years, availability developed countries will need to increase again meet demands ageing populations. Increasing supply raises many challenges; new approaches recruitment and retainment future generations donors be needed, care necessary avoid taking too much from these donors. Integrated stock management between transfusion services hospitals important minimise wastage—eg, by use chain solutions industry. Cross-disciplinary systems for lessen transfusion—eg, early identification reversal anaemia with haematinics or underlying cause. Personalised medicine could applied match patients, not only extended typing, but also using genetically determined storage characteristics components. Growing red cells platelets large quantities stem is possibility future, challenges cost, scaling up, reproducibility remain solved.