浙江省体外循环专业质量控制问卷调查报告

The questionnaire survey of extracorporeal circulation clinical quality in Zhejiang province 2014

目的对浙江省体外循环专业的质量控制情况进行调查,了解本省行业现状。方法 2014年采用问卷调查的方法,参照上海市体外循环专业质量控制督查评分表设置调查内容,内容主要包括人员资质、规章制度、临床操作和设施设备。问卷通过电子邮件发放,结果汇总后进行统一评分。结果共电邮调查问卷28份,回复19份,回复率57.8%。19家医院平均得分82.9分,得分最高的是年手术量300台以上医院(平均分:89),最低的是50台以下医院(平均分:80.77)。各医院在应急预案、技术培训、耗材选择和存放、节约用血措施、药物管理方面完全达标。存在的主要问题有缺乏培训记录和考核、监测设备配置不足、新技术开展少、没有统一记录单。结论调查结果能够反映浙江省体外循环专业基本状况。总体状况较好,同时也存在不足之处,希望尽早出台统一的质量控制标准和督查制度,提高整体体外循环专业安全性、技术和管理水平。

Objective To survey the situation of extracorporeal circulation clinical quality in Zhejiang province. Methods We designed the survey items according to the supervision standards of extracorporeal circulation clinical quality in Shanghai. The questionnaire was distributed by e-mail. The survey results were scored by special person according evaluation standards. Results A total of28 copies questionnaire were distributed and 19 copies were replied. The average score of 19 hospitals was 82.9. The average score of hospitals whose operation amounts was more than 300 in 2013 was highest. All of hospitals met completely the standard in emergency plan,technical training,blood conservation,medical supplies and drug management. The main problems were the lack of training record and assessment,monitoring devises and standard perfusion record form. Most of hospitals didn＇t carry out modified ultrafiltration technique. Conclusion Generally,the situation of extracorporeal circulation clinical quality in Zhejiang province is good,but some problems are existing. The quality standard should be formulated and carried out as soon as possible to improve perfusion safety and professional technology level.