Open Access
Research Article
Development of a mathematical model based on Markov modeling of blood banks to minimize blood bank costs considering waste and shortage costs
Mahdieh Dehghani Meybodimahdieh784@yahoo.comDepartment of Industrial EngineeringYazd UniversityYazd, IranView full profile → , *Mohammad Saber FallahnezhadCorresponding authorfallahnezhad@yazd.ac.irDepartment of Industrial EngineeringPejoohesh StreetYazd UniversitySafa-ieh, Yazd, P. O. Box 89195-741, Iran0000-0003-3343-2769View full profile →
* Corresponding author · click or hover a name for details
- Received:
- 09 Apr 2024
- Published Online:
- 15 Jul 2025
- Article type:
- Research Article
- Language:
- EN
- Article no.:
- JSMS-1396
- Pages:
- 893–911
Abstract
The amount of blood in a blood bank should be determined based on the needs of the hospital, and it is appropriate to meet the demand if the demand suddenly increases in the presence of unexpected events, such as earthquakes, floods, and wars. If there is not enough stock, it must be procured from other sources, which will lead to shortage costs. Additionally, since blood is a perishable substance and has a limited lifetime, if the useful life of blood is over, the remaining blood cannot be used, which leads to waste, and this action is subject to a cost called the cost of waste. Our aim in this article is to investigate and analyze the sensitivity of the parameters involved in blood management so that by developing a mathematical model, we can try to determine the level of blood inventory for a specific blood type such that blood bank costs are optimized according to the existing constraint that total cost is the summation of the costs of shortage and wastage. Modeling of the problem is done using Markov chains, and in this paper, we tried to obtain the optimal inventory level via a numerical approach; sensitivity analysis was subsequently used to evaluate the impact of variations in the parameters, and it was found that among all the parameters, the demand rate and maximum age of usable blood had the greatest impact on the total cost and total blood inventory.
Keywords
Subject Classifications
49K9990-XX90B9960-XX60Jxx60J10
References
[1] M. R. G. Samani, S.-M. Hosseini-Motlagh, and S. F. Ghannadpour, “A multilateral perspective towards blood network design in an uncertain environment: Methodology and implementation,” Computers & Industrial Engineering, vol. 130, pp. 450-471 (2019).
[2] H. Lowalekar and N. Ravichandran, “Blood bank inventory management in India,” Opsearch, vol. 51, pp. 376-399 (2014).
[3] M. Contreras, Blood Transfusion Alphabet, translated by Z. Masaeli, 4th edition, Zohd Publishing House (2014) (in Persian)
[4] A. Nagurney, A. H. Masoumi, and M. Yu, “Supply chain network operations management of a blood banking system with cost and risk minimization,” Computational management science, vol. 9, pp. 205-231 (2012).
5] S. Yaqoubi, M. Kamor, “ Management of Products Consumption in Blood Supply Chain Considering Lateral Transshipment between Hospitals,” Industrial Management Studies, vol. 15, no. 47, pp. 93-119 (2017). (in persian)
[6] B. Zaman, M. Radmehr, A. Sahraian, and P. Sohrabi, “Determination of the ratio and causes of unused blood ordered from blood bank blood in elective surgery in Rasoul-e-Akram Hospital,” Scientific Journal of Iran Blood Transfus Organ, vol. 6, no. 2, pp. 141-146 (2009).
[7] Q. Li, Z. Ma, and F. Yang, “Blood component preparation‐inventory problem with stochastic demand and supply,” International Transactions in Operational Research, vol. 29, no. 5, pp. 2921-2943 (2022).
[8] B. Mahmoudi and M. Najafi, “Hospital blood bank inventory management with uncertain demand,” presented at the 10th International Conference of Iran Operations Research Association (2016). [Online]. Available: https://civilica.com/doc/767198. (in Persian)
[9] M. Meneses, I. Marques, and A. Barbosa‐Póvoa, “Blood inventory management: Ordering policies for hospital blood banks under uncertainty,” International Transactions in Operational Research, vol. 30, no. 1, pp. 273-301 (2023).
[10] H. L. Soares, E. F. Arruda, L. Bahiense, D. Gartner, and L. Amorim Filho, “Optimisation and control of the supply of blood bags in hemotherapic centres via Markov decision process with discounted arrival rate,” Artificial Intelligence in Medicine, vol. 104, p. 101791 (2020).
[11] G. O. Ferreira, E. F. Arruda, and L. G. Marujo, “Inventory management of perishable items in long-term humanitarian operations using Markov Decision Processes,” International journal of disaster risk reduction, vol. 31, pp. 460-469 (2018).
[12] M. Dehghani and B. Abbasi, “An age-based lateral-transshipment policy for perishable items,” International Journal of Production Economics, vol. 198, pp. 93-103 (2018).
[13] Z. Hosseinifard and B. Abbasi, “The inventory centralization impacts on sustainability of the blood supply chain,” Computers & operations research, vol. 89, pp. 206-212 (2018).
[14] M. Shokouhifar, M. M. Sabbaghi, and N. Pilevari, “Inventory management in blood supply chain considering fuzzy supply/demand uncertainties and lateral transshipment,” Transfusion and Apheresis Science, vol. 60, no. 3, p. 103103 (2021).
[15] R. K. Bedi, K. Mittal, T. Sood, P. Kaur, and G. Kaur, “Segregation of blood inventory: A key driver for optimum blood stock management in a resource-poor setting,” International Journal of Applied and Basic Medical Research, vol. 6, no. 2, pp. 119-122 (2016).
[16] S. A. Kafi-Abad, A. Omidkhoda, and A. A. Pourfatollah, “Analysis of hospital blood components wastage in Iran (2005-2015),” Transfusion and Apheresis Science, vol. 58, no. 1, pp. 34-38 (2019).
[17] H. Lowalekar and N. Ravichandran, “Model for blood collections management,” Transfusion, vol. 50, no. 12pt2, pp. 2778-2784 (2010).
[18] H. Meraj Mohammadi, M. Sepehri, and T. Khatibi, “Development of an Integrated Management Model for Hospital Blood Bank Inventory Considering Two Types of Patients,” presented at the 12th International Conference on Industrial Engineering (2015). (in Persian)
[19] B. Zaman, M. Radmehr, A. Sahraiian, and P. Sohrabi, “The amount and reason for non-use of blood requested from the blood bank in elective surgical procedures in Hazrat Rasool Akram Hospital,” Blood Research, vol. 6, pp. 141-146. (in Persian)
[20] R. M. Far, F. S. Rad, Z. Abdolazimi, and M. M. Daneshi Kohan, “Determination of rate and causes of wastage of blood and blood products in Iranian hospitals,” (2014).
[21] N. Mohammadi, S. H. Seyedi, P. Farhadi, J. Shahmohamadi, Z. A. Ganjeh, and Z. Salehi, “Development of a scenario-based blood bank model to maximize reducing the blood wastage,” Transfusion Clinique et Biologique, vol. 29, no. 1, pp. 16-19 (2022).
[22] A. I. O. Yahia, “Management of blood supply and demand during the COVID-19 pandemic in King Abdullah Hospital, Bisha, Saudi Arabia,” Transfusion and Apheresis Science, vol. 59, no. 5, p. 102836 (2020).
[23] R. V. Boppana and S. Chalasani, “Analytical models to determine desirable blood acquisition rates,” in 2007 IEEE International Conference on System of Systems Engineering, IEEE, pp. 1-6 (2007).
[24] S.-M. Hosseini-Motlagh, M. R. G. Samani, and S. Homaei, “Toward a coordination of inventory and distribution schedules for blood in disasters,” Socio-Economic Planning Sciences, vol. 72, p. 100897 (2020).
[25] A. Jabbarzadeh, B. Fahimnia, and S. Seuring, “Dynamic supply chain network design for the supply of blood in disasters: A robust model with real world application,” Transportation research part E: logistics and transportation review, vol. 70, pp. 225-244 (2014).
[26] D. Chazan and S. Gal, “A Markovian model for a perishable product inventory,” Management Science, vol. 23, no. 5, pp. 512-521 (1977).
[27] S. Tadarok, M. Fakhrzad, M. Jokardarabi, and A. Jafari-Nodoushan, “A mathematical model for a blood supply chain network with the robust fuzzy possibilistic programming approach: a case study at Namazi hospital,” International Journal of Engineering Transactions C: Aspects, vol. 34, no. 6, pp. 1495-1504 (2021).
[28] M. Asadpour, O. Boyer, and R. Tavakkoli-Moghaddam, “A blood supply chain network with backup facilities considering blood groups and expiration date: a real-world application,” International Journal of Engineering, vol. 34, no. 2, pp. 470-479 (2021).
[29] A. Fallahi, A. Pourghazi, and H. Mokhtari, “A multi-product humanitarian supply chain network design problem: a fuzzy multi-objective and robust optimization approach,” International Journal of Engineering, vol. 37, no. 5, pp. 941-958 (2024).
[30] A. F. Osorio, S. C. Brailsford, and H. K. Smith, “A structured review of quantitative models in the blood supply chain: a taxonomic framework for decision-making,” International Journal of Production Research, vol. 53, no. 24, pp. 7191-7212 (2015).
[31] Q. Wang, M. Kageyama, and J. Zhang, “New evaluation criteria in the Markov decision processes,” Journal of Statistics and Management Systems, vol. 24, no. 3, pp. 625-632 (2021).
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