二八法则在医生用血评价管理中的应用  

Applications for 80/20 Rule on Doctor Blood Transfusion Evaluation Management

作　　者：刘红伟[1] 钟国权[1] 林金端[2] 

机构地区：[1]广东省清远市人民医院输血科,511500 [2]广东省清远市人民医院检验科,511500

出　　处：《临床输血与检验》2016年第6期565-568,共4页Journal of Clinical Transfusion and Laboratory Medicine

摘　　要：目的：探讨在输血信息管理系统欠发达的情况下，运用二八法则进行医生用血评价管理的有效性。方法回顾性分析2013年1-9月86份输血病历及输血申请单等资料，找出导致80%不合格项次的项目，并通过改善这些项目，对比因素改善前后住院手术平均红细胞用量、平均血浆用量和住院用血总量的变化和评估二八法则在医生用血管理中的有效性。结果输血申请单审核率从27.9%上升到88.0%，输血适应证合格率从79.1%上升到93.3%，病程记录合格率从83.7%上升到88.5%。住院手术平均红细胞用量从0.16 U下降到0.13 U，平均血浆用量从0.07 U下降到0.06 U。在出院人数增长11.8%和住院手术例数增长9.3%情况下，住院用血总量下降14.9%。结论利用二八法则，重点解决医生用血评价管理中的重要影响因素，对于医生用血评价管理、节约用血、促进科学合理用血是行之有效的。Objective To investigate the effects of 80/20 rule on doctor blood transfusion evaluation management when blood transfusion information management system was undeveloped. Methods Retrospective analysis was done on the 86 blood transfusion medical records and applications during January to September in 2013 to find out factors which leaded 80% underproof item. By amending these factors and observing the changes of hospitalized patients with surgery average red blood cell consumption,average plasma consumption and hospitalized patients total blood consumption,the effects of 80/20 rule on doctor blood transfusion evaluation management were evaluated.Results The rate of approved blood transfusion application form,blood transfusion indication and eligible progress note increased from 27.9% to 88.0%,79.1% to 93.% and 83.7% to 88.5%,respectively. While the rate of hospitalized surgery average red blood cell consumption and hospitalized surgery average plasma consumption decreased from 0.16 U to 0.13 U and 0.07 U to 0.06 U,respectively. The rate of hospitalized patients total blood consumption decreased 14.9% in the case that the number of hospitalized discharge and hospitalized surgery increased 11.8% and 9.3%,respectively.Conclusion It is positive in doctor blood transfusion evaluation management,saving blood transfusion and promoting scientific and reasonable blood transfusion to use 80/20 rule to resolve the important influencing factors of doctor blood transfusion evaluation management.

关 键 词：二八法则 申请单审核率 合理用血 用血评价 

分 类 号：R457.12[医药卫生—治疗学]