临床输血全程闭环智能路径质量和安全实时控制  

Quality and safety real time control of the whole closed-loop intelligent path for clinical transfusion

作　　者：肖昆[1] 曹磊[1] 李建林[1] 龚剑国[1] 李劲波 向军 熊伟 范时海 刘威[1] 乐爱平[1] 

机构地区：[1]南昌大学第一附属医院,江西南昌330006 [2]江西先锋信息产业有限公司

出　　处：《中国输血杂志》2017年第2期109-112,共4页Chinese Journal of Blood Transfusion

基　　金：江西省科技重大项目(20144BBG70001)

摘　　要：目的构建临床用血管理与评价信息系统中临床输血全程闭环智能路径,实现临床输血全程质量和安全实时控制与质量持续改进。方法按照临床用血全面质量管理要求,采用.NET框架的B/S/S和C/S/S相结合的模式,应用Oracle数据库技术和SOA服务技术对临床输血的设备、人员、材料、环境、法则等全程管理要素和技术要素,采取现场控制、前馈控制和反馈控制相结合的实时控制手段构建临床输血全程闭环智能路径。结果 1)成功构建的临床输血全程闭环智能路径与血液制剂、血液标本及质量分析与持续改进等全程闭环智能路径间实现了智能无缝对接与信息共享;2)通过临床输血全程闭环智能路径对质量和安全要素的实时智能信息检索与路径提示的前馈控制、智能路径的现场控制及智能信息共享的反馈控制,本院实现了临床输血全程质量和安全智能路径化实时控制及质量持续改进;3)该路径具备规范、智能、全程闭环、路径实时控制及质量持续改进等特点,全面质量管理持续改进的应用成效明显。结论临床输血全程闭环智能路径满足了医院临床用血全面质量管理全程实时控制与质量持续改进的要求,在提高临床用血依从性,推行患者血液管理,减少输血需求,有效提升临床用血水平等方面具有良好的应用价值。Objective To establish a closed loop intelligent path for clinical blood use management and evaluation information system,and to achieve the quality and safety of clinical blood use and continuous quality improvement. Methods The whole closed-loop intelligent path for clinical transfusion was constructed by real time control method based on field control,feed-forward control and feedback control in accordance with the requirements for clinical blood use total quality management. It was combined with equipment,personnel,materials,environment and law of clinical blood use by the. Net framework B/S/s and C/S/s,Oracle database technology and SOA service technology. Results 1） Intelligent seamless and information sharing were achieved by the successful completion of the clinical transfusion closed loop intelligent path and the blood preparation,blood samples and quality analysis,and continuous improvement. 2） The real-time control with intelligent path and quality improvement of clinical transfusion quality and safety was achieved through real time feed-forward control of intelligent information retrieval and path prompting,as well as intelligent path control and feedback control of intelligent information sharing. 3） The path has the characteristics of standardization,intelligence,full closed-loop,real-time control and continuous improvement of quality,which can confer a remarkable clinical application effect on the total quality of continuous improvement. Conclusion The whole closed-loop intelligent path of clinical transfusion meets the requirements of the whole process of real-time control and continuous improvement of total quality management for clinical transfusion in hospital,which has good application value in effectively improving the compliance and level of the clinical blood use,introducing patient blood management,and reducing requirements of clinical transfusion.

关 键 词：临床输血 实时控制 全程闭环 智能路径 质量和安全 

分 类 号：R457.1[医药卫生—治疗学] R197.323[医药卫生—临床医学]