质量提高策略对改善血型实验室的输血质量分析

Analysis of Quality Improving Strategy on Blood Transfusion Quality Improvement of Blood Group Laboratory

目的探讨质量提高策略对改善血型实验室输血质量的价值。方法在2016年12月至2018年12月对我院临床输血病历进行质量检查,临床输血病历来源科室为外科、内科、骨科、产科、妇科等。随着抽取临床输血病历质量检查前和检查后各200份输血病历,分析检查前和检查后病历质量;检查前和检查后输血病历中输血合理性及输血不良反应发生率。结果检查前和检查后病历质量(无输血申请单、无输血同意书、无签字、输血指征掌握不当、输血护理不完整、不良反应报送不及时)比较有差异(P<0.05);检查前和检查后输血病历中输血合理性及输血不良反应发生率比较有差异(P<0.05)。结论通过临床输血病历质量检查,发现病历中不合理问题主要集中在无输血申请单、无输血同意书、无签字、输血指征掌握不当、输血护理不完整、不良反应报送不及时,给予针对性改进措施可以减少上述病历差错的发生。

Objective to explore value of quality improvement strategy in improving blood transfusion quality in blood group laboratory.Methods carry on quality inspection of clinical transfusion medical records from December 2016 to December 2018 in our hospital.Clinical transfusion medical records came from surgery,internal medicine,orthopedics,obstetrics,gynecology and other departments.Choose 200 cases clinical transfusion records before and after quality inspection,analyze transfusion records quality,rationality of transfusion and adverse reactions incidence in transfusion records before and after inspection.Results medical records quality showed significant differences before and after examination(no blood transfusion application form,no blood transfusion consent,no signature,improper control of blood transfusion indications,incomplete blood transfusion nursing,and untimely reporting of adverse reactions)(P<0.05);blood transfusion rationality and adverse reactions incidence showed significant differences in blood transfusion medical records before and after examination(P<0.05).Conclusion based on quality inspection of clinical transfusion medical records,unreasonable problems in medical records mainly concentrated in no transfusion application form,no transfusion consent,no signature,improper control of transfusion indications,incomplete transfusion nursing,and untimely reporting of adverse reactions.Targeted improvement measures can reduce occurrence of above-mentioned medical record errors.