应用互动式临床用血监管模式提升医院用血质量

Improve the quality of blood transfusion by using aninteractive supervision model in hospitals

目的探讨互动式临床用血监管模式的建立对提升医院用血质量的作用。方法通过建立临床用血监管微信群、开通临床用血咨询服务电话、临床用血在线审核培训等方法开展互动式临床用血监管,分析互动监管模式应用前后医院的临床用血质量。结果通过互动式临床用血监管模式的开展,输血申请合格率由84. 36%提升至96. 98%,输血适应证符合率由83. 58%提升至95. 67%,输血病程记录合格率由73. 08提升至96. 83%;红细胞人均用血由0. 357 U下降至0. 325 U,台均用血由0. 611 U下降至0. 538 U。结论应用互动式临床用血监管模式,可有效调动临床医护人员合理用血积极性,提升医院用血质量。

Objective To explore the effect of interactive supervisionmodelon improving the quality of blood transfusionin hospitals.Methods Analysis of hospital blood quality before and after the application ofthe interactive modelwas performed. The module establishment of clinical blood monitoring We Chat group,consultation service phone,check and training of blood transfusion online was completed. Results After using the interactive model,the applicationof blood transfusion qualificationrate increased from 84. 36% to 96. 98%; The coincidence rate of blood transfusion indications increased from83. 58% to 95. 67%; The accuracy rate of blood transfusion progress note increased from 73. 08% to 96. 83%; Per capita of redblood cell transfusiondeclined from 0. 357 units to 0. 325 units; Per operation of redblood cell transfusiondeclined from0. 611 units to 0. 538 units. Conclusion The application of interactive supervision model in hospitals can effectively motivate the enthusiasm of clinical medical staff for rational blood use,improving the quality of hospital blood transfusion.