目标引导闭环管理措施在输血管理中的应用

Application of goal-guided closed-loop management measures in blood transfusion management

目的研究目标引导闭环管理措施在输血管理中的应用效果,为输血管理提供指导。方法选择2017年5月至2018年5月目标引导闭环管理措施实施前在岐山县医院进行输血的1025例患者作为对照组,2018年6月至2019年6月实施后在我院进行输血的1056例患者作为研究组。比较两组患者的血样标本平均送达时间、取血后输注等待时间、输血前后的不良事件发生率、不良反应发生率、输血流程不规范事件发生率以及医护人员平均护理工时。结果研究组患者的血样标本平均送达时间、取血后输注平均等待时间及医护人员平均护理工时分别为(19.26±10.71)min、(14.95±12.58)min、(13.84±1.89)min,明显短于对照组的(30.43±18.62)min、(33.82±6.39)min、(27.95±3.53)min,差异均具有统计学意义(P<0.05);研究组患者的备血对象采集错误发生率和标签登记错误发生率均为0,明显低于对照组的0.49%、0.39%,差异均有统计学意义(P<0.05);研究组患者的总不良反应发生率为0.28%,略低于对照组的0.68%,差异无统计学意义(P>0.05);研究组患者的记录不规范发生率和核对流程不规范发生率分别为2.08%、1.14%,明显低于对照组的9.56%、8.39%,差异均有统计学意义(P<0.05)。结论目标引导闭环管理措施应用于输血管理,有助于合理用血,保障用血的准确性和及时性,降低不良反应和不良事件发生率,保障输血安全。

Objective To study the application effect of goal-guided closed-loop management measures in blood transfusion management,and to provide referrence for blood transfusion management.Methods Goal-guided closed-loop management measures were applied to blood transfusion management,and the results before and after implementation were observed and compared.A total of 1025 patients who received blood transfusion in the Hospital of Qishan County before implementation of the goal-guided closed-loop management measures from May 2017 to May 2018 were selected as the control group,and 1056 patients who received blood transfusion in the Hospital of Qishan County after implementation from June 2018 to June 2019 were selected as the study group.The average delivery time of blood samples,the waiting time for transfusion after blood collection,the incidence of adverse events before and after transfusion,the incidence of adverse reactions,the incidence of non-standardized blood transfusion events,and the average nursing man-hours of medical staff were compared between the two groups.Results The average delivery time of blood sample,the average waiting time of transfusion after blood collection,and the average nursing time of medical staff in the study group were(19.26±10.71)min,(14.95±12.58)min,(13.84±1.89)min,respectively,which were significantly shorter than corresponding(30.43±18.62)min,(33.82±6.39)min,(27.95±3.53)min in the control group(all P<0.05).The incidence of collection errors and label registration errors in the study group were both 0,which were significantly lower than corresponding 0.49%and 0.39%in the control group(P<0.05);the incidence of total adverse reactions in the study group was 0.28%versus 0.68%in the control group(P>0.05).The incidence of abnormal records and checking procedures in the study group were 2.08%and 1.14%,which were significantly lower than corresponding 9.56%and 8.39%in the control group(P<0.05).Conclusion The goal-guided closed-loop management measures applied to blood transfusion management are helpful for the rational use of blood,ensuring the accuracy and timeliness of blood use,reducing the incidence of adverse reactions and adverse events,and ensuring the safety of blood transfusion.