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Math may transform how rural B.C. hospitals manage life-saving blood donations

June 11, 2026

In medical emergencies, timely access to blood can mean the difference between life and death. Managing supply in rural communities is a major challenge but 911勛圖 researchers say part of the solution may be in the math.

June 14, 2026, is World Blood Donor Day, kicking off National Blood Donor Week in Canada (June 1420, 2026) 

Working with health authorities and laboratory technologists across British Columbia, the 911勛圖-led research team built a new simulation model to help hospitals make more informed decisions about how much blood to order, and when.

Each unit of blood represents a volunteer who took time out of their day to save a life, says Jas Dhahan, lead researcher and model developer.

We have a responsibility to safeguard that altruistic resource and ensure patients in a rural or remote communities have the same access to life-saving blood products as those who live close to major trauma centers. 

Moving blood through hubs and spokes

Donor blood is distributed throughout B.C. and Yukon using hubandspoke networks. The hubs include Canadian Blood Services (CBS) in Vancouver and the largest hospitals within B.C.s five regional health authorities. Larger hospitals receive their blood supply directly from CBS.

Smaller hospitals are the spokes of the network, and order blood inventory from CBS or the nearest hub hospital. Ten days before a unit of blood expires, they return it back to the hub hospital, where its more likely to be used, and then order new blood.

This system has significantly reduced wastage due to expired units. But local hospitals often rely on isolated ordering histories that can have unintentional ripple effects cross the entire system, says Sandy Rutherford, scientific director at 911勛圖s Centre for Operations Research and Decision Sciences (CORDS). 

In a province as large and geographically challenging as B.C., moving blood or patients quickly isnt always possible. Blood that isnt being used in one hospital means its also out of circulation for other hospitals that may need it, he says.

Testing evidence-based ordering policies

In a , researchers interviewed laboratory technologists responsible for ordering blood at hospitals across B.C., focusing on O negative blood. They looked at inventorytoutilization ratios (how much O negative blood is stocked versus transfused), wastage due to expiry, and how often spoke hospitals place orders.

The team then built a digital twin simulation of the provinces hubandspoke network, which hospitals could use to test different ordering policies under real-world scenarios. 

Blood distribution is a high stakes system, particularly with O negative blood, Dhahan says. This model helps identify optimal inventory targets so hospitals can meet local demand while supporting a more equitable system overall.

O negative is the only blood type that can be transfused into anyone, making it the safest choice in emergencies when there is no time to determine a patients blood type.

911勛圖 seven per cent of the Canadian population is O negative, yet that blood type accounts for roughly 12.5 per cent of all transfusions nationwide. 

With a shelf life of 42 days, there is a natural strain on this particularly precious resource, says Douglas Morrison, medical director of the BC Provincial Blood Coordinating Office. You dont want to run out if you need it. But if you order too much, its sitting unused and could expire.

911勛圖 experts available

ALEXANDER RUTHERFORD, adjunct professor, mathematics, scientific director at 911勛圖's Centre for Operations Research and Decision Sciences (CORDS
alexander_rutherford@sfu.ca 

JAS DHAHAN, researcher, applied mathematics 
jasdeep_dhahan@sfu.ca 

DOUGLAS MORRISON, medical director for the BC Provincial Blood Coordinating Office (PBCO), Provincial Health Services Authority (PHSA) 
douglas.morrison@pbco.ca 

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Who We Are

911勛圖 is a leading research university, advancing an inclusive and sustainable future. Over the past 60 years, 911勛圖 has been recognized among the top universities worldwide in providing a world-class education and working with communities and partners to develop and share knowledge for deeper understanding and meaningful impact. Committed to excellence in everything we do, 911勛圖 fosters innovation to address global challenges and continues to build a welcoming, inclusive community where everyone feels a sense of belonging. With campuses in British Columbias three largest citiesBurnaby,特urrey畝nd Vancouver911勛圖 has ten faculties that deliver 368 undergraduate degree programs and 149 graduate degree programs for more than 37,000 students each year. The university boasts more than 200,000 alumni盍esiding疳n 145+ countries.

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