血库信息管理系统在临床用血安全中的应用

Application of safe management of clinical transfusion by establishing blood bank management information system

目的强化输血科血制品信息化管理,提高临床用血安全性和合理性。方法依据《临床用血管理办法》和《临床输血技术规范》,运用计算机软件和网络技术对武汉亚洲心脏病医院原血库信息管理系统进行重新设计和开发,建立亚心血库信息管理系统,对2013年医院输血工作进行管理,对血型标本检测的双向通信、血液库存预警、电子输血申请、输血反应电子记录、输血后疗效评估等功能运行情况进行效果评价。结果用亚心血库信息管理系统后,2013年全院检测血型22 900份,与2012年相比增加11%,在输血科未增加人员情况下,无1份血型鉴定错误;2013年共入库血液制品红细胞类6744 U、血浆类235 100 ml、血小板类411人份,冷沉淀类1492 U,无1袋血液制品因过期而报废,无1例患者因发错血、出错库产生医疗事故;2013年共接收电子输血申请8824份,填写合格率99%。结论应用血库信息管理系统,使输血科工作和临床用血管理更智能、更规范、更有效,提高了输血科管理水平,促进了临床安全合理有效用血。

Objective To improve the management information of blood products in blood bank, and enhance the safety and rationality of clinical transfusion. Methods According to "'the Principles for Clinical Management of Blood Products" and "the Standards for Clinical Transfusion Procedure", the former blood bank management information system was redesigned and established using computer software and network technology in Wuhan Asia Heart Hospital. The new system was used to manage the transfusion work ~om January 2013 to December 2013, and to assess the performance of the new programs, including specimens bidirectional communica- tion, inventory warning, electronic blood transfusion applications, electronic transfusion reactions record and transfu- sion efficacy evaluation. Results After the application of the new system, the amount of blood typing in 2013 was 22 900, increasing 11% compared to 2012, blood typing mistake was not happened. In 2013, the storage of blood products included 6744 unit erythrocyte, 235 100 ml plasma, 411 units platelet, and 1492 units cryoprecipitate, none was abandoned due to expiration. There was no mistake in checking out and distributing to patients. In 2013, 8824 electronic transfusion applications were received, 99% of them met our standards. Conclusion The efficiency, safety and rationality of clinical transfusion are enhanced by the new blood bank management information system.