血站成分科血源感染风险分析与控制

Risk analysis of blood infections in different departments of blood bank and control measures

目的对血站成分科感染风险关键点实行有效控制,杜绝临床经血感染疾病的发生,防止工作人员职业暴露。方法依照国家法规要求,找出血站成分科感染发生的关键环节要点,进行风险评估分析,针对关键点建立感染风险控制程序,操作标准,并实行岗位责任制及目标考核监督检查制度,以达到感染发生的有效控制要求。结果自2006年国家卫生部颁布血站管理的"一法两规"以来,血站对成分科感染控制纳入安全与卫生质量管理,作为质量重点常抓不懈,有效保障了临床输血安全,防止了科室工作人员职业暴露的发生。结论找出血站成分科室内感染发生风险关键要点,纳入血站安全与卫生质量管理体系,建立科室对应质量管理程序,实施岗位感染风险控制目标责任制,对于血站成分科对站内感染发生的控制具有重要作用。

OBJECTIVE To effectively control the critical points of risk of infections in different departments of blood bank so as to prevent the blood borne infectious diseases and the occupational exposure of medical staff. METHODS In accordance with national regulations, the critical points of risk of infections that occurred in different departments were found out, the risk was assessed, then the risk control procedure was established according to the critical points, operation standards were formulated, meantime, the two systems including job responsibility system and the target assessment supervision and inspection system were implemented so as to effectively control the infections. RESULTS Since the one law and two regulations about the management of blood bank management was issued by the national Ministry of Health in 2006, the safety of the clinical blood transfusion has been ensured and the occupational exposure of the medical staff has been prevented through bringing the infection control in the different departments to the safety and hygiene quality management. CONCLUSION To find out the critical points of risk of infections in different departments, bring into the safety and hygiene quality management, establish the matching quality management procedure, and implement target responsibility of control of risk of infections plays an important role in the control of infections in the different departments of blood bank.