临床输血管理持续改进后医院相关输血质量评价

Hospital quality evaluation of clinical blood transfusion management after blood transfusion continuous improvement

目的:了解临床输血管理持续改进后医院相关输血质量控制情况,探讨降低不合格率、提高输血质量的措施。方法:持续改进前后收集分析全市的用血报表,每月由各用血单位输血科整理临床输血申请单不合格项、输血科接收标本不合格项并进行统计分析。结果:2012-2014年的人均用血量分别为4.67U,4.08U,3.84U。对照组、试验1组和试验2组的输血申请单不合格率分别为42.3%、23.1%和10.3%,3组比较差异有统计学意义(χ~2=612.3,P<0.01)。3组的标本不合格率分别为4.86%、3.84%和2.89%,3组比较差异有统计学意义(χ~2=12.0,P<0.01)。结论:目前采用的临床输血管理持续改进措施明显提高了全市的输血质量,是促进输血工作标准化、规范化及科学化管理的行之有效的方法。

Objective：To understand the hospital transfusion quality control after the continuous improvement of clinical blood transfusion management, and discuss the measures of reducing the failure rate and improving the quality of blood transfusion. Method： The blood usage reports before and after continuous improvement were collected and analyzed, and the clinical transfusion request form unqualified items and unqualified specimens were collected and analyzed by the Department of blood transfusion monthly. Result： From 2012 to 2014, the average uses of blood were 4.67 U, 4.08 U and 3.84 U, respectively. The blood transfusion request form unqualified rates of the control group, experimental group 1 and experimental group 2 were 42.3%, 23.1% and 10.3%, respectively, and there was a significant difference between 3 groups （2 = 612.3, P〈0.01）. The specimen unqualified rates of 3 groups were 4.86%, 3.84% and 2.89%, respectively, and there was a significant difference between 3 groups （X^2= 12.0, P〈0.01）. Conclusion： The current clinical blood transfusion management continuous improvement measures had significantly improved the quality of blood transfusion, which would be an effective method to pro mote the standardization and scientific management of blood transfusion.