临床输血病历持续改进调查分析  

Investigation report of continuous improvement of clinical blood transfusion records

作　　者：杨孝亮 刘蕴萍[2] 周小琴[1] 高春芳[1] 王爱华[1] 

机构地区：[1]第二军医大学东方肝胆外科医院实验诊断科,上海200438 [2]江苏省东台市人民医院麻醉科

出　　处：《中国输血杂志》2014年第9期947-949,共3页Chinese Journal of Blood Transfusion

摘　　要：目的分析临床输血病历存在的问题,持续改进规范临床输血病历的书写,预防和减少临床输血相关的医疗纠纷。方法抽查本院2011～2013年临床输血病历每季度30份,根据《三甲综合医院评审标准实施细则（2011年版本）》（输血管理与持续改进部分）进行持续改进并分析研究。结果输血病历相关缺陷改进后与改进前相比有明显改善,如2011年输血病历相关缺陷与改进中、改进后的合格率分别为70.9%、84.2%、92.5%;相关数据经统计学分析差异具有统计学意义（P〈0.05）。结论持续改进规范临床输血病历,建立有效的管理模式,能保障临床输血病历质量,做到更科学、更合理、更安全、更有效的临床用血。Objective To analyze the problems existing in the Clinical blood transfusion records, continuously improve clinical blood transfusion medical records amd prevent and reduce clinical transfusion-related medical disputes. Methods Clinical blood transfusion medical records of our hospital during 2011-- 2013 were spot checked （30 records per quater） These medical records were continuously improved according to the Detailed Rules of 3A General Hospital Review Standards （201t edition） （transfusion management and continuous improvement part ） . Results The defects in blood transfusion medical records decreased significantly after the improvement. The qualified rate of blood transfusion medical records before, during and after improvement in 2011 were 70. 9% ,84. 2% and 92. 5% ,respectively. The differences were statistically significant （ P 〈 0. 05 ）. Conchmion Continuous improvement of clinical transfusion records and establishment of an effective management model can ensure the quality of clinical transfusion records and make clinical use of blood become more scientific, more rational, safer and more effective.

关 键 词：输血病历 持续改进 安全输血 

分 类 号：R457.1[医药卫生—治疗学]