Application of PDCA Cycle Management in Outpatient Blood Collection Room Management

Objective:To explore the application and effectiveness of PDCA cycle management in outpatient blood collection room management.Methods:A total of 80 patients in the outpatient blood collection room of the hospital from June 2023 to June 2024 were selected as the study subjects and randomly divided into a control group and an observation group,with 40 patients in each group.The control group implemented conventional nursing management,while the observation group implemented PDCA cycle management on top of routine care.Blood collection outcomes,the incidence of disputes,adverse reactions,blood collection waiting times,nursing quality,and patient satisfaction were compared between the two groups.Results:The observation group showed significantly better blood collection outcomes compared to the control group,with a higher success rate of venipuncture(P<0.05).The total incidence of adverse reactions in the observation group was notably lower than in the control group(P<0.05).Additionally,the observation group exhibited shorter blood collection waiting times,higher nursing quality scores,and greater patient satisfaction,with all differences showing high statistical significance(P<0.001).Conclusion:The application of PDCA cycle management in the outpatient blood collection room demonstrated remarkable effectiveness.By leveraging the cycle of planning,execution,checking,and action,it optimized blood collection processes,improved efficiency and service quality,and enhanced patient satisfaction,making it highly worthy of clinical promotion and application.

The Role of Blood Station Quality Management System in the Quality Control of Blood Collection

With the continuous development of China’s medical industry in recent years,relevant staff has also paid more attention to the quality management of blood stations,and China has gradually improved during the setting of laws and regulations for blood station quality management.The policies set by the Chinese government have been fully implemented through the reasonable implementation of relevant staff.With the continuous development of China’s medical industry in recent years,relevant staff have also paid more attention to the quality management of blood stations,and China has gradually improved during the setting of laws and regulations for blood station quality management.The policies set by the Chinese government have been fully implemented through the reasonable implementation of relevant staff.On this basis,the management model of the Chinese blood station has been continuously innovated in the application process,and the blood collection work of the Chinese blood station has been greatly developed.However,when the blood station in China is conducting blood collection,its quality control program is still not fully mature.Therefore,in this context,it is necessary to do a good job in the construction of the corresponding blood station quality management system and make effective adjustments,which will give full play to the role of the management system in the quality control process of blood collection.In this paper,the construction plan of the blood station quality management system is analyzed to explore the role of the blood station quality management system in the process of blood collection quality control,aiming to provide assistance for the quality management of blood collection in China.

不同体温状况下血培养的阳性率比较

目的:比较住院发热患儿不同体温采集时机对于血培养阳性率的影响。方法:采用回顾性研究方法,对2023年1月—12月在首都医科大学附属北京儿童医院感染内科病房住院并行血培养采集的530例患儿为研究对象,按照血培养采集时患儿体温分为发热组和非发热组,比较两组血培养阳性率和阳性病原菌的分布情况。结果:共检出11例阳性患儿,阳性率为2.1%,其中发热组6例,非发热组5例;非发热组阳性率为2.3%,发热组阳性率为1.9%,两组比较差异无统计学意义(P>0.05);不同体温组血培养阳性率比较差异无统计学意义(P>0.05),其中低热组血培养阳性率最高(3.4%)。两组血培养阳性病原菌分布比较差异无统计学意义(P>0.05)。结论:对于使用过抗生素的住院患儿,寒战或发热初期采集血培养对于血培养阳性检出率无明显影响,体温正常期也是可选择的血培养采集时机。

成渝地区采供血信息系统互联互通探索

依托成都市血液中心与重庆市血液中心血液管理信息系统,通过确定业务需求、技术方案等,建设成渝地区献血者信息核查系统、特殊血型和血小板供者融合库。通过开展“成渝地区采供血信息系统互联互通”项目,为血站阻断献血间隔期不足和检测不合格献血者,满足特殊血液需求提供了数据支撑和技术保障,降低了献血风险,提升了特殊血液保障能力。

经不同外周静脉导管采血在肥胖合并代谢综合征手术患者中的比较研究

目的比较3种不同长度的外周静脉导管用于肥胖合并代谢综合征手术患者采血的效果。方法采用定点连续抽样法,选取2023年4月—6月浙江省某三级甲等综合医院的住院患者作为研究对象。采用简单随机分组法将患者分为3组,试验组1经迷你中长导管采血,试验组2经中等长度导管采血,对照组经外周静脉留置针采血。比较3种导管采血总成功率、首次采血失败生存分析、首次采血成功率、标本合格率、导管相关并发症发生率。结果共纳入162例患者,每组54例。试验组1、试验组2和对照组的采血总成功率分别为53.70%、88.89%、31.48%,两两比较结果显示,试验组1和试验组2、试验组2和对照组比较,差异具有统计学意义(P<0.017),试验组1和对照组比较,差异无统计学意义(P>0.017);试验组1、试验组2和对照组导管相关并发症总发生率分别为33.33%、14.81%、40.74%,差异具有统计学意义(P<0.05),两两比较结果显示,试验组2和对照组比较差异具有统计学意义(P<0.017),试验组1和试验组2、试验组1和对照组比较,差异无统计学意义(P>0.017)。关于发生首次采血失败的时间,试验组1和对照组分别为4.00(3.36,4.64)、3.00(2.25,3.75)d,3组比较,差异具有统计学意义(Log-Rank,P<0.001)。结论3种外周静脉导管均可用于肥胖合并代谢综合征患者首次采血,其中经中等长度导管采血发生首次采血失败的时间晚、采血总成功率较高,导管相关并发症总发生率低。

The impact of prehospital blood sampling on the emergency department process of patients with chest pain:a pragmatic non-randomized controlled trial

BACKGROUND:In patients with chest pain who arrive at the emergency department(ED)by ambulance,venous access is frequently established prehospital,and could be utilized to sample blood.Prehospital blood sampling may save time in the diagnostic process.In this study,the association of prehospital blood draw with blood sample arrival times,troponin turnaround times,and ED length of stay(LOS),number of blood sample mix-ups and blood sample quality were assessed.METHODS:The study was conducted from October 1,2019 to February 29,2020.In patients who were transported to the ED with acute chest pain with low suspicion for acute coronary syndrome(ACS),outcomes were compared between cases,in whom prehospital blood draw was performed,and controls,in whom blood was drawn at the ED.Regression analyses were used to assess the association of prehospital blood draw with the time intervals.RESULTS:Prehospital blood draw was performed in 100 patients.In 406 patients,blood draw was performed at the ED.Prehospital blood draw was independently associated with shorter blood sample arrival times,shorter troponin turnaround times and decreased LOS(P<0.001).No differences in the number of blood sample mix-ups and quality were observed(P>0.05).CONCLUSION:For patients with acute chest pain with low suspicion for ACS,prehospital blood sampling is associated with shorter time intervals,while there were no significant differences between the two groups in the validity of the blood samples.

A lab-on-a-CD system for point-of-care testing of whole blood samples

Point-of-care(POC)testing offers rapid results of diagnostics near the site of patient care,which can significantly improve health care and management of infectious diseases.POC testing now plays a crucial role in healthcare delivery of both developed and developing countries,particularly in developing countries where medical resources are limited.Challenges remain for the biomedical engineering community to develop truly portable,automatic,low-cost and easyto-use POC tools.Blood tests are the most commonly-used diagnostic methods nowadays because blood analyses provide definitive information of medical conditions of patients.Traditional blood tests,including sample collection,preparation and detection,are conducted using large-scale blood an-

Contribution to the Improvement of Transfusion Safety: Assessment of the Pre-Donation Hemoglobin Level at the Yamoussoukro Blood Transfusion Center in Cote d’Ivoire

Introduction: Despite the progress recorded at the level of transfusion safety in Côte d’Ivoire, much remains to be done, particularly at the level of the medical selection of blood donors. The objective of the study was to make an assessment of the pre-donation capillary hemoglobin dosage for the year 2020 of the fixed collection, of the Blood Transfusion Center of Yamoussoukro. Method: This is a retrospective study that took place at the Yamoussoukro Blood Transfusion Center. The data collection related to all old and new blood donors were deemed suitable for the fixed collection of the year 2020. The method chosen for the pre-donation control is that of the portable hemoglobinometer of the HémoCue® type, more precisely 201+. Results: Of the 1160 blood donors in the study, the pre-donation hemoglobin level was not measured in 787 (67.8%) subjects of either sex. Of the subjects who had a pre-donation hemoglobin level performed, 97 (26%) blood donors had a sub-standard hemoglobin level, including 15 females and 82 males. Conclusion: Pre-donation hemoglobin testing of blood donors is effective in Yamoussoukro. However, efforts must still be made to improve the quality of the blood collected and to protect blood donors.

质量管理在血站采供血工作中的应用

目的 分析在血站采供血工作中质量管理的应用价值。方法 选取2021年7月—2022年7月在济宁市中心血站献血的70名献血者和11名护理工作人员,均实施质量管理,纳入研究组;另选择2020年5月—2021年5月在血站献血的70名献血者和11名护理工作人员,实施常规管理,纳入对照组。对比和分析工作管理效果。结果 研究组工作管理质量(设备维修保养、责任心、消毒工作质量、环境质量)各项评分高于对照组(P<0.05);研究组献血者总满意度为97.14%,高于对照组的81.43%(P<0.05);研究组一次穿刺成功率、采血质量达标率、健康教育覆盖率分别为92.86%、98.57%、100%,高于对照组的72.86%、85.71%、90.00%,研究组工作差错率为2.86%,低于对照组的17.14%(P<0.05)。结论 在血站采供血工作中质量管理应用价值较高,在工作管理质量、献血者满意度、一次穿刺成功率、采血质量达标率、工作差错率、健康教育覆盖率方面优势明显。

采供血机构信息化发展现状与策略研究——以北京市采供血机构为例

目的对北京市采供血机构信息化建设现状、需求和问题进行调查分析,为进一步完善北京市采供血系统信息化建设提供策略建议。方法采用序贯访谈法,收集北京市血液中心相关科室、中心血站、中心血库和临床用血机构等的信息系统相关定性资料并进行整理分析。结果北京市采供血机构目前运行有6个信息系统,涵盖了采供血服务管理、献血信息查询和上报、采供血机构业务管理、献血者信息管理以及血液信息宣传、信息公示等功能,但仍存在系统信息化程度较低、缺乏信息化建设的顶层设计、数据标准不统一、系统分析统计功能不完善等问题。结论北京市采供血机构在信息化发展上需要进一步开展网络设施建设,重构系统架构,完善血液管理信息化平台功能,统一数据、接口实现信息共享,利用新兴技术实现采供血服务和管理的智能化和精准化。

南昌地区高校大学生无偿献血情况与脂肪血和采血不足量情况分析

目的 了解南昌地区高校大学生无偿献血情况及脂肪血、采血不足量导致的血液报废情况,为大学生人群血液质量评估、健康宣教,完善低危献血者招募策略提供数据支持。方法 通过血站管理信息系统统计2019-2022年南昌地区高校大学生献血人次在总献血人次中占比、脂肪血产生人次、采血不足量发生人次。结果 2019-2022年南昌地区大学生献血人次在总献血人次中占53.63%;大学生献血人群脂肪血发生率(2.14%)低于社会其他献血人群(6.29%),差异有统计学意义(P<0.01);大学生献血人群采血不足量发生率(0.79%)高于社会其他献血人群(0.34%),差异有统计学意义(P<0.01);男性大学生献血人群脂肪血发生率(2.81%)高于女性(1.11%),差异有统计学意义(P<0.01);女性大学生献血人群采血不足量发生率(0.96%)高于男性(0.67%),差异有统计学意义(P<0.01)。结论 高校大学生是南昌地区无偿献血主力军,应进一步加强大学生群体献血知识健康宣教及献血前健康征询力度,最大程度减少脂肪血和采血不足量导致的血液报废,保障血液质量。

2021—2023年江西省采供血机构血液安全调研情况分析

目的调查分析江西省各采供血机构贯彻落实法律法规情况和工作开展情况,持续提升血液安全水平,保障血液和血液制品质量安全。方法采取听取汇报、查阅资料、实地查看等方式对2021—2023年江西省12家血站、16家单采血浆站开展血液安全调研。结果通过调研,了解了本省各采供血机构工作中的亮点特色,同时也发现了本省采供血机构在人员、机器、物料、方法、环境方面存在的问题,3年的调研中,血站累计发现问题111次,单采血浆站累计发现问题157次。结论根据调研结果,让本省各采供血机构明确改进的方向,也为卫生行政管理部门制定政策提供依据,提高采供血服务水平和血液质量安全监督工作效率。

佛山地区固定献血屋与流动献血车献血工作成效分析

目的 分析固定献血屋与流动献血车在佛山地区无偿献血工作中的成效。方法 随机抽选佛山市街头流动献血车与献血屋各4个,对其2022年8月—2023年8月各类调查数据进行分析。结果 固定献血屋单点日均采血量为(59.63±5.54)U,固定献血者比例为(22.45±1.31)%,均高于流动献血车的(50.17±5.13)U、(18.03±1.25)%(P <0.05);献血不良反应发生率为(0.21±0.05)%,低于流动献血车的(0.95±0.12)%(P <0.05);工作人员对固定献血屋总满意度为100%,高于流动献血车的85.71%(P <0.05);献血者对固定献血屋总满意度为97.88%,高于流动献血车的89.64%(P <0.05)。结论 佛山地区无偿献血工作中固定献血屋与流动献血车相比单点日均采血量与固定献血者比例均更高,且工作人员与献血者满意度也更高,因此日后需要对献血屋和献血车进行改进,提高固定献血率。

6.4版Trima血细胞分离机采集血小板发生聚集的原因及2种干预措施的对比

目的:探讨6.4版Trima血细胞分离机采集血小板发生聚集的原因以及2种干预措施的效果。方法:收集2020年61例献血者血小板捐献聚集次(n=61)与非聚集次(n=323)数据,分析聚集原因;将2021年单采过程中出现聚集的72例次随机分为干预A组和干预B组,干预A组提高抗凝剂与血液的比率,干预B组对献血者捐献侧手臂进行电热毯包裹保暖,提高献血者的血流速度。对比2组采集时间、平均血流速度、机器报警次数、抗凝剂使用量、产品下机解聚、献血者枸橼酸盐反应等情况。结果:聚集与平均血流速度呈负相关(r=-0.394),与采集时间呈正相关(r=0.458);经贝叶斯与Fisher判别分析,分别对聚集和非聚集构建了方程式,该方程判别分析预测的正确率为77.1%。2种干预措施效果比较,B组平均血流速度高于A组;采集时间、机器报警次数和抗凝剂使用量、献血者枸橼酸盐反应例数均明显低于A组(P<0.05);2021年的整个队列中,90.28%的产品下机立即解聚,9.72%的产品4 h内解聚,2种干预措施组产品下机解聚情况对比差异没有统计学意义(P>0.05)。结论:单采血小板过程中可用构建的聚集和非聚集方程式进行聚集发生概率的预判,并可提前做出干预。2种干预措施对降低血小板聚集都有效,但措施B具有提高采血速度、缩短采集时间、减少报警次数和抗凝剂用量、降低献血者枸橼酸盐反应发生率等优点。