临床输血条码识别闭环系统的建立和应用  

Establishment and application of a clinical blood transfusion closed-loop transfusion barcode recognition system

作　　者：王秋实[1] 高娃[1] 詹磊[2] 杨巧妮[1] 刘德龙[1] 全宇[1] 张成普[1] 

机构地区：[1]中国医科大学附属盛京医院,辽宁沈阳110004 [2]东软集团股份有限公司

出　　处：《中国输血杂志》2016年第4期438-441,共4页Chinese Journal of Blood Transfusion

摘　　要：目的通过条码识别系统提高临床输血标本和血液信息的安全传递。方法通过患者腕带的识别系统,在医疗管理系统(EMR系统)、实验室管理系统(LIS系统)、手麻系统、自动化办公系统基础上,建立血液标本采集、接收、血液发放、输注的闭环管理系统。结果条码识别闭环系统建立后护士采血错误率,输血前检验信息错误率,血型填写错误率,输血目的错误率均显著降低。标本审核时间,血液发放时间,血液输注前核对时间显著缩短。结论基于医院信息化建设基础上的条码识别闭环管理可以有效的完成输血申请和血液发放信息的双向传递,有保证输血的安全,并有利于提高临床输血效率。Objective To improve clinical blood transfusion safety through building a closed-loop transfusion barcode recognition system. Methods Closed-loop transfusion barcode recognition was built through patient wristband recognition system,medical management system（ EMR） system,laboratory management system（ LIS）,surgery and anesthetic system and office automation（ OR） system. Results After building the closed-loop transfusion barcode recognition system,nurses＇ error decreased from 7 /48 622 to 2 /55 239. Test information in application form error decreased from 167 /48 622 to11 /55 239（ P 0. 05）. Blood type filling mistakes also significantly decreased. Sample supervision time,blood distribution time and checking time before blood transfusion significantly decreased. Conclusion Closed-loop transfusion barcode recognition system can effectively complete blood transfusion application and distribute information,guarantee the safety of blood transfusion,and is helpful to improve the efficiency of clinical blood transfusion.

关 键 词：输血 标本 条码识别 闭环系统 

分 类 号：R457.1[医药卫生—治疗学]