血液标本全程闭环智能路径质量和安全实时控制

Quality and safety real time control of closed loop intelligent path of whole blood samples process

目的通过构建血液标本全程闭环智能路径,以实现临床用血全程血液标本质量和安全智能路径信息化实时控制。方法依据临床用血全程血液标本管理要素和技术要素的全面质量管理要求,采用智能路径信息化实时控制手段对血液标本的操作和运行路径轨迹进行全程闭环构建。结果 1)通过对血液标本的路径生成、信息识别与核查核对、精确定位保存、有效期与免疫学状态、输血相容性检测状态与结果等操作和运行轨迹的信息智能检索与比对、操作提示与授权的路径化实时控制,实现了血液标本全程闭环智能路径质量和安全的全面质量管理与持续改进,涵盖了供者和患者血液标本;2)血液标本全程闭环路径与临床输血、血液制剂、质量分析与持续改进等路径间无缝对接,实现了全程信息智能共享,具备路径轨迹全程闭环性、实时性、溯源性、智能控制性及质量持续改进等特点,实现了输血检测项目和血液标本免疫学状态实时控制的智能路径化、标准化;3)输血相关项目检测率和血液标本时限符合率的持续改进成效显著(P<0.001)。结论血液标本全程闭环智能路径能有效保障临床用血全程血液标本质量和安全的实时控制,提升了临床用血全面质量管理及其智能信息化水平。

Objective To ensure the quality and safety real time control of blood samples in whole clinical blood use process by constructing a whole closed loop intelligent path in blood samples,. Methods The whole closed loop intelligent path in clinical blood sample management and operation track system was constructed with intelligent path method and realtime control of the whole process,in accordance with the managerial and technical elements found in total quality management standards for processing blood samples for clinical blood use. Results 1）. The whole closed loop intelligent path management and continuous improvement on the whole blood sampling process was actualized through intelligent retrieval and comparison of information,prompting of operation information and path authorization,real time control on path of blood sample processing,identification and information verification,active inspection on the period of validity and immunological state of the specimens,and continuous monitoring of blood compatibility test conditions and results. 2）. The whole closed loop path of blood samples could seamlessly join and share the full intelligent information with the paths from clinic blood transfusion,blood products,quality analysis and continuous improvement. This closed loop path demonstrated the following advantages,including real time,traceability,intelligent control,continuous improvement,as well as the capacity to actualize an intelligent route and standardization for real time control of the immune status of blood specimens and blood transfusion testing categories. 3）. The detection rate＇s effect on continuous improvement of blood transfusion related item and the rate of compliance in blood specimen was significant（ P〈0. 001）. Conclusion The whole closed loop intelligent path of blood samples can effectively ensure the quality and safety real time control of blood samples in whole clinical blood use process,and improve total quality management and the level of intelligent information in clinical blood use.