输血内涵质量评价机制的建立与应用

The Establishment and Application of Evaluation Mechanism for Blood Transfusion Connotative Quality

目的建立输血内涵质量评价机制,提高临床科学合理用血水平。方法制定系统的评价方案,确定专项评价标准,成立评审专家团队,依托数字化病案管理系统平台,分季度有重点地开展输血内涵质量评价。结果输血评价平均成绩2014年143分,2013年139分,t小于0.01,差异有统计学意义;输血评价缺陷数,手术、非手术科室2014年比2013年分别下降了37.8%和14.0%;2012—2014年输血比例和人均用血量逐年下降;2013—2014年24小时大量用血人数和用血量分别下降40.9%和37.3%;二次手术用血人数持平,用血量下降14.1%。结论建立输血内涵质量评价机制,实现全过程输血质量监控,提高了临床合理用血水平,保护稀缺血源,保障临床用血安全。

Objective To establish the evaluation mechanism of blood transfusion connotative quality for improvement of clinical blood-use scientifically and rationally. Method Formulated systematic scheme, determinated Special standards, builded an evaluation team of experts, relied on administrative system platform of digital electrical medical record, carried out evaluation of blood transfusion connotative quality quarterly and selectively. Results The average results of blood transfusion connotative quality evaluation is 143 in 2014 and 139 in 2013. Because of the value of t-test less than 0.01, the difference between two years has statistical significance. The amount of blood transfusion defects in surgery departments is drop 37.8% and non-surgical departments 14%. The proportion of blood transfusion and the amount of blood per person have a decline trend from 2012 to 2014. From 2013 to 2014, the number of people and quantity of large blood use in 24 hours is drop 40.9% and 37.3% respectively, and the number of people of blood use in re-operation is flat with quantity of blood use drop 14.1%. Conclusion It can achieve full-range Supervisory control of blood transfusion quality, improve clinical blood-use level rationally, protect valuable blood resource, and ensure clinical blood-use safety to establish evaluation mechanism for blood transfusion connotative quality.