质量持续改进在输血记录质量管理中的作用  

Continuous quality improvement in the management of clinical blood transfusion records

作　　者：杨旭丽[1] 乐爱平[1] 伍姗姗[1] 吴玮斌[1] 黄祖凤[1] 毛甜甜[1] 

机构地区：[1]南昌大学第一附属医院,江西南昌330006

出　　处：《中国输血杂志》2015年第10期1287-1289,共3页Chinese Journal of Blood Transfusion

基　　金：江西省卫计委普通科技计划项目(20141051)

摘　　要：目的评价输血记录质量的持续改进效果。方法成立质量持续改进(CQI)团队,应用PDCA循环原理的4个步骤9个阶段对输血记录质量进行持续改进。结果 1)输血记录规范率在2010-2013年度间的差异具统计学意义(P<0.05),由4.25%(11/259)升至66.81%(316/473);2)输血记录前3类缺陷累积百分比由2010年的81.91%(313/387)降至2013年的59.92%(154/257),降低了21.99%;3)2013年输血记录前3类缺陷构成发生变化,均为2010年缺陷排序靠后的3类,2010年前3类缺陷移位至2013年的倒数3类,且缺陷累积百分比降至14.01%(36/257)。结论 PDCA持续改进输血记录质量,能有效降低输血记录缺陷率,提高输血病案质量。Objective To evaluate the effect of continuous quality improvement （CQI） on the medical records of blood transfusion. Methods PDCA （Plan-Do-Check-Action） circulation method was applied and continuous quality improvement was made On the medical records of blood transfusion. Results 1 ）. The standardized rate of blood transfusion records in- creased from 4.25% （11/259） to 66.81% （316/473）. It was statistically significant from 2010 to 2013 （P 〈0. 05 ）. 2）. The cumulative percentage of top three defects found in blood transfusion records decreased from 81.91% （313/387） to 59. 92% （154/257） in three years. 3）. The top three defects identified in blood transfusion records in 2013 changed from bottom three in 2010. The top three defects identified in blood transfusion records in 2010 became the bottom three in 2013. Conclusion The application of PDCA circulation method on the continuous quality improvement measures can effectively re- duce the defects in clinical blood transfusion records and improve the quality of medical records.

关 键 词：持续改进 输血记录 质量管理 PDCA 

分 类 号：R457.1[医药卫生—治疗学]