PDCA理论在输血电子病历质量控制中的临床实践

Clinical Practice of PDCA Theory in Quality Control of Blood Transfusion Electronic Medical Record

目的 PDCA循环管理模式运用于输血病历质控管理,及时发现问题、解决问题,促进医疗质量与医疗安全的持续改进。方法严格按计划、实施、确认、处理四个阶段分别进行规范医院临床用血管理制度和制定检查内容、督查输血病历、寻找和分析问题、制定有效的改进措施、强化落实后制订下一步实施计划内容。结果输血病历质量控制采用PDCA循环管理模式后分四个季度将输血病历质量的考核指标(输血治疗同意书、输血医嘱、输血记录、输血后效果评价)经χ2检验,各项指标的差异有统计学意义(P<0.05)。结论一年后输血管理制度更加健全,输血病历质量得到一定程度的提高。

Objective PDCA circulation management model is used in the quality control management of blood transfusion record, to find problems and solve problems in time, and to promote the continuous improvement of medical quality and medical safety. Methods Strictly according to the planning, implementation, confirmation and treatment of the four stages of the standardized hospital blood management system and the establishment of examination content, supervision of blood transfusion records, search and analysis of problems, to formulate effective measures to improve, and after the implementation of the implementation of the next implementation plan. Results The quality control of blood transfusion records was divided into four quarters after the use of the PDCA cycle management model. The evaluation indexes of the quality of the blood transfusion record（the consent of the transfusion treatment, the doctor＇s order, the record of blood transfusion, the evaluation of the effect after the blood transfusion） were tested by χ2, and the differences of the indexes were statistically significant（P〈0.05）. Conclusion After a year, the blood transfusion management system is more sound, and the quality of blood transfusion records has been improved to a certain extent.