某医院2018年红细胞过期报废率激增原因分析

Analysis on rapidly increasing rate of blood expired discarding in 2018 in our hospital

目的:通过分析2018年宁波市第六医院红细胞过期报废的情况,找出原因,探讨降低红细胞过期报废率的措施,有效地保护血液资源。方法:从临床使用红细胞血型分布情况、过期红细胞的血型分布情况、报废月份、过期红细胞入库时间距离到有效期时间等方面分析过期原因,并与前2年红细胞过期情况进行比对。结果:相比前2年,2018年过期报废的红细胞中B型Rh阳性血占比增加显著(P<0.05),主要报废时间多集中于春节假期期间。AB型Rh阳性红细胞报废的原因主要是入库时血液不够新鲜,距有效期时间过短。结论:灵活地调节医院血液最佳库存量及与血站和临床之间的良好沟通对于减少红细胞过期报废起着重要作用。

Objective:To find the cause of blood expired discarding by analyzing data of red blood cell discarding of 2018,in order to reduce the amount of RBC(red blood cell)discarding. Method:Collecting data such as blood type distribution among patients,the blood type distribution among discarded RBC,discard month and the RBC’S expiry date to analyze the cause,and comparing the data with the last two years. Result:Quiet a few type B bloods discarded in the period of the Spring Festival.The main cause of type AB’s discarding was the short validity period.Conclusion:Proper adjustment of the store and good communication wtih both blood center and clinical departments would play an important role in decreasing RBC expired discarding rate.