持续质量改进在输血安全管理中的应用效果

Application of continuous quality improvement in safety management of blood transfusion

目的探讨持续质量改进(CQI)在输血安全管理中的应用效果。方法医院自2015年6月起将CQI运用到输血安全管理中,随访6个月,观察CQI执行前及执行6个月后护理人员安全输血规范执行率。结果 CQI执行6个月后,护士在制度掌握正确率、血标本采集双人核对签名率、双人规范输血执行率、血标签粘贴及签名位置正确率及输血器输血袋正确处理率方面均优于CQI执行前,差异有统计学意义(P<0.01)。结论应用CQI方法进行输血安全管理,能有效规范临床护理人员进行安全输血的行为,提高临床用血安全及护理质量。

Objective To investigate the effect of continuous quality improvement( CQI) in safety management of blood transfusion. Methods The CQI had been carried out to promote the safety management of blood transfusion since June 2015. The condition of standard blood transfusion operation in nurses was observed after six-month follow up. Results The result showed that nurses achieved a improvement in knowledge of blood transfusion operation,double check in blood samples collection,standard blood transfusion,labels and signature requirements and proper treatment to blood transfusion set after six-month follow up compared with those before implementation of CQI( P < 0. 01).Conclusion Continuous quality improvement can regulate the safety operation of nurses in blood transfusion and to improve the safety management of blood transfusion.