基层医疗机构输血科管理现状及改进策略

Primary hospital transfusion department management status and improvement strategies

目的：全面掌握基层医疗机构输血科（血库）管理现状，对存在的普遍性薄弱环节提出改进策略，为加强基层医疗机构临床输血规范化管理提供必要理论支持。方法选取烟台地区62家基层医疗机构输血科（血库）作为研究对象，对设置规划、布局、基本建设标准、相关技术、设备应用等方面量化评审，得出初步结论。结果被检查的62家基层医疗机构输血科质量管理水平无论是从软硬件设施、应急预案制定、体系文件支持、信息化建设、员工教育培训等方面均发现诸多不足，与现行的输血科（血库）相关标准存在一定差距。结论当前基层医疗机构输血科管理受客观条件制约，存在诸多问题，如不加以改进，将对临床输血安全性造成一定隐患。因此，应结合自身实际，强化输血质量管理体系建设，充分发挥医院输血质量管理委员会的监督管理作用。同时，当地卫生行政部门也应及时制定出台相应配套政策，确保输血管理水平显著提升。

Objective To comprehensively grasp the grassroots medical institutions blood transfusion（blood） management present situation,put forward improvement strategy for the universality of existence weak link,the stand-ardized management of clinical blood transfusion to strengthen grass -roots medical institutions to provide necessary theoretical support.Methods 62 grassroots medical institutions blood transfusion（blood）in Yantai district were selected as the research subjects,to set the planning,layout,basic construction standards,related technology and equipment application aspects of quantitative evaluation,preliminary conclusions.Results By examination of 62 grassroots medical institutions transfusion quality management level both in terms of hardware and software facilities, emergency plan formulation,system file support informatization construction,staff education training,etc,found many problems,there was a certain gap between the existing department of blood transfusion standards.Conclusion The current grassroots medical institutions transfusion management is conditioned by the objective conditions,there are many problems,such as not improved,will cause a certain hidden trouble on the safety of clinical blood transfusion. Therefore,should combine their own reality,strengthen the quality of blood transfusion management system construc-tion,and give full play to the supervision and management of the hospital transfusion quality management committee. At the same time,the local administrative department of health also should formulate corresponding policies,ensure transfusion management level significantly increased.