三级综合医院评审对规范安全输血的影响  

Influence of the accreditation of third-grade class A comprehensive hospitals on the regulation of safe blood transfusion

作　　者：赵凤军[1] 赵秀荣 

机构地区：[1]山东省聊城市人民医院护理部,252000 [2]山东省聊城市东昌府区人民医院门诊办门诊办,252000

出　　处：《中华现代护理杂志》2014年第27期3493-3496,共4页Chinese Journal of Modern Nursing

摘　　要：目的：探讨规范医院输血安全管理水平的有效方法。方法在2011年8月对全院73个护理单元进行输血规范检查并对不同层级护士进行输血相关知识测试后，进行总结，然后根据存在的问题，结合三级综合医院评审标准完善制度、制定规范流程，进行反复培训、考核，反复督导，并利用PDCA持续改进，2013年4月，再次对全院73个护理单元进行病历检查并对不同层级护士进行输血知识提问。结果医院安全输血相关制度不断完善并持续改进；医院输血管理制度及规范流程得到落实；两次检查及提问比较，2011年8月份检查存在问题基本解决，都达到了安全指标，护士的输血相关知识掌握程度提高，差异均有统计学意义（ P＜0．01）。结论通过三级综合医院评审的等级创建，推进了医院安全输血管理工作，加强了规范化管理；提升了管理水平；保证了患者安全输血。Objective To investigate whether the process of accreditation of comprehensive third-grade class A hospitals was an effective way to regulate the safety of blood transfusion .Methods In August 2011 blood transfusion regularity was checked in the 73 nursing units of the hospital , nurses of different ranks were tested on related knowledge of blood transfusion , and problems were found .According to the problems , together with the disciplines of the accreditation of third-grade class A hospitals , a standard procedure was made and the nurses were trained and tested repeatedly .All the wards were checked and instructed for the application of the standard procedure and PDCA was used for further improvement .In April 2013 blood transfusion regularity was checked in the 73 nursing units again and nurses of different ranks were tested on the knowledge of blood transfusion.Results The related regularity of safe blood transfusion was improved , and the regularity and standard procedure were applied .With comparisons and contrasts of the two checks and tests of the nurses , most problems found in the check of August 2011 were solved and the safety standard was reached with the result , nurses’ degree of mastering knowledge about safety of blood transfusion was improved , which all had statistical significant differences （P 〈0.01）.Conclusions With the building of third-grade class A comprehensive hospitals, the safety of blood transfusion is promoted , and the management of the hospital is improved and the safety of blood transfusion is guaranteed .

关 键 词：医院评审 规范流程 安全输血 

分 类 号：R197.3[医药卫生—卫生事业管理]