某口腔医院临床用血质量控制体系的建立与应用效果评价

Study on the Quality Control of Clinical Blood in Stomatological Hospital Based on Quality Control Index of Clinical Blood

目的建立某口腔医院临床用血质控体系,进一步提升输血专业化规范化服务能力,促进合理用血。方法于2019年7月开始建立临床用血质控体系并运用。调取2018年7月1日-2019年6月30日归档共224份输血病案为质控前组,2019年7月1日-2020年6月30日归档的共205份输血病案为临床用血质控体系下的质控后组。以临床用血质量控制指标(2019版)中的10项指标为评价指标,采用SPSS19.0软件对质控前后数据进行统计分析。结果建立临床用血质控体系后,临床用血申请单合格率由质控前的62.95%提升至86.93%,差异有统计学意义;千输血人次输血不良反应上报例数由质控前的8.93例上升至24.39例;手术患者自体输血率由质控前的0上升至2.13%;三级与四级手术台均用血量从质控前的0.27U下降至0.20U;出院患者人均用血量从质控前的0.12U下降至0.09U;每千单位用血输血专业技术人员数从质控前的1.86人上升至5.32人;其余指标因无提升空间保持持平。结论建立临床用血质控体系可有效促进口腔医院安全、合理和科学用血,是一种保障临床用血更加规范和高效的管理模式。

Objectives The quality control system of clinical blood use in stomatological hospital had been established to further improve the ability of blood transfusion professional and standardized service and promote the rational use of blood.Methods The blood quality control system for clinical use was established and applied in July 2019.A total of 224 blood transfusion medical records archived from July 1,2018 to June 30,2019 were transferred to the pre-quality control group,and a total of 205 blood transfusion medical records archived from July 1st,2019 to June 30th,2020 were transferred to the post-quality control group under the blood quality control system for clinical use.Ten indexes in Clinical Blood Quality Control Index(2019 Edition)were used as evaluation indexes.SPSS19.0 software was used for statistical analysis of data before and after quality control.Results After the establishment of clinical blood quality control system,the qualified rate of clinical blood application form increased from 62.95% to 86.93%,the difference was statistically significant.The number of transfusion adverse reactions reported increased from 8.93 cases before quality control to 24.39 cases.The rate of autotransfusion increased from 0 before quality control to 2.13%.The blood consumption of grade Ⅲ and Ⅳoperating tables decreased from 0.27 U before quality control to 0.20 U.The average blood consumption of discharged patients decreased from 0.12 U before quality control to 0.09 U.The number of professional and technical personnel for blood transfusion per thousand units increased from 1.86 before quality control to 5.32.For other indicators,there was no room for improvement and remained flat.Conclusions The establishment of clinical blood quality control system can effectively promote the safe,rational and scientific use of blood in stomatological hospitals,which is a more efficient and standardized management mode for clinical blood use.