质量持续改进在输血申请单及配血标本管理中的应用

The Use of Continuous Improvement in Blood Transfusion Application Forms and Blood Specimens Management

目的通过评价分析我院临床输血申请单及配血标本的合格率,以进一步提高临床输血质量与安全。方法审核中山大学附属第一医院2014年7月-2015年6月的输血申请单及配血标本,记录不合格情况,进行质量持续改进前后的对比分析。结果我院2014年下半年输血申请18 696份,不合格613例,合格率为96.7%。制定并执行一系列对策,质量持续改进后,2015年上半年输血申请19 952份,不合格32例,合格率提升为99.8%。之后继续巩固改进成效,进一步加强输血管理,临床科室也更加重视输血申请,每季度输血申请不合格情况已极少见。结论运用PDCA循环法能够持续改进输血申请质量,有效降低输血申请及配血标本不合格率,提升输血安全。

Objective To analyze the qualification rate of clinical blood transfusion application forms and blood specimens,to further improve the quality and security of clinical blood transfusion. Methods Checked the transfusion application forms and blood specimens in the first affiliated hospital,Sun Yat- sen University from July 2014 to June 2015,and then marked unqualified records. We analyzed the quality continuous improvement results. Results Of the total 18696 cases of blood transfusion application in the second half of 2014,613 cases were unqualified,which meant 96. 7% appropriate. By developing and executing a series of countermeasures,we did continuous quality improvement. Of the total 19952 cases of blood transfusion application in the first half of 2015,only 32 cases were unqualified,which meant 99. 8% appropriate. After continue consolidated the improvement results,further strengthened the blood transfusion management. The clinical departments also payed more attention to blood transfusion application,and there were very rare unqualified cases in each quarter of the following years. Conclusion Applying the PDCA cycle can continously improve the quality of blood transfusion application,and effectively reduce the unqualified rate,and improve the blood transfusion safety.