临床输血床旁电子核查系统的设计  

The design of bedside electronic verification system in clinical transfusion

作　　者：黄姗[1] 陆华[1] 黎儒青[1] 陈驰[1] 蒋天伦[1] 

机构地区：[1]第三军医大学附属第一医院输血科,重庆400038

出　　处：《国际检验医学杂志》2011年第19期2177-2178,共2页International Journal of Laboratory Medicine

摘　　要：目的构建临床输血床旁电子核查系统。方法以患者在医院信息系统(LIS)中的ID号作为主标识,以血型和不规则抗体筛查结果作为辅助标识,组成患者身份信息标识;以血液在血液信息系统(BIS)中的血液成份编号为血液主标识,以献血流水号、血液成份类型、血型、效期、传染病指标检测结果作为辅助标识,组成血液信息标识;将条码扫描仪与笔记本电脑连接并接入HIS系统,构成核查设备。通过核查设备对血液信息和患者信息进行输血前床旁核查。结果临床输血床旁电子核查系统,在与HIS及BIS成功联网下,从HIS获取电子配血报告,可实现患者和血液的核查;在无网络支持下,采用患者和血液的辅助标识进行自动判读确定输血是否进行。结论临床输血床旁电子核查系统在有无网络支撑下均可进行床旁输血前的核查,有效防止人为差错,保障血液质量和安全输血。Objective To establish the bedside electronic verification system in clinical transfusion. Methods Use the patient＇s ID number in the hospital information system（LlS）as the primary mark,the result of the blood type and irregular antibody screen- ing as a complementary mark,which constitute the patients identification information mark. The blood information mark was corn- posited of the primary mark which the blood code in the blood information system（BIS）and a complementary mark which contained the blood donation serial number, the type of blood components, the blood type, the validity period and the results of infectious dis- ease targets index test. Make the barcode scanner connect to a notebook accessed the HIS system to form a verification equipment. Bedside verification would be performed before blood transfusion through the verification equipment to identify the blood and pa- tient information. Results The bedside electronic verification system with the application of networking with HIS and BIS obtain e lectronic cross matching blood report from HIS; will check over the patients and the blood information. Further more, whether to proceed blood transfusion will be automatic interpreted by complementary mark of the patient and blood without network support. Conclusion The bedside electronic verification system of clinic transfusion can be carried out with or without the network condi- tions,which could effectively prevent human error, ensure the quality and safety of blood transfusion.

关 键 词：临床输血信息化 床旁核查 电子核查 

分 类 号：R457[医药卫生—治疗学]