5W+1H分析法结合ECRS分析原则在降低输血不良反应漏报率中的应用

Reducing the under-reporting rate of adverse transfusion reactions:Application of 5W+1H method combined with ECRS analysis principle

目的探讨5W+1H分析法结合ECRS分析原则在降低输血不良反应漏报率中的应用效果。方法运用5W+1H分析法结合ECRS分析原则对血液科某病区输血不良反应漏报进行原因分析,提出解决对策,并采取干预措施。将2018年1月~2019年12月实施5W+1H分析法结合ECRS分析原则后的输血不良反应漏报情况进行统计并作为观察组,将2016年1月~2017年12月实施干预前的输血不良反应漏报情况进行统计并作为对照组。比较实施5W+1H分析法结合ECRS原则并进行干预前后2组的输血不良反应漏报率。结果实施5W+1H分析法结合ECRS原则并进行干预后,观察组输血不良反应漏报率(17.39%)较对照组(37.67%)低(P<0.05)。结论运用5W+1H分析法结合ECRS分析原则能有效降低输血不良反应漏报率,改进临床输血不良反应的报告管理,促进用血安全。

Objective To investigate the application of 5W+1H combined with ECRS analysis principle in reducing the under-reporting rate of adverse reactions to blood transfusion(ARBT).Methods The causes of under-reporting rate of ARBT were analyzed using 5W+1H combined with ECRS analysis principle in Department of Hematology,and the countermeasures and intervention measures were carried out.The under-reporting rate of ARBTs before(January 2018 to December 2019,control)and after(January 2016 to December 2017,test)the interventions was compared.Results After the application of 5W+1H combined ECRS analysis principle,the under-reporting rate of ARBTs decreased significantly(17.39%test vs 37.67%control)(P<0.05).Conclusion The application of 5W+1H combined ECRS analysis principle can effectively reduce the under-reporting rate of ARBT,improve the report management of it,and improve the safety of the blood products.