构建多维度血液保障新方案  

A New Multi-Dimensional Blood Security Program under the Condition of Hospital Blood Shortage

作　　者：江颖[1] 潘纪春[1] 刘晓敏[1] 乔木[1] 王金慧[1] 张晓娟[1] 迟红旭[1] 张雷英 马春娅[1] 封彦楠 王旖[1] 汪德清[1] JIANG Ying;PAN Jichun;LIU Xiaomin(First Medical Center,Chinese PLA General Hospital,Beijing,100853,China)

机构地区：[1]解放军总医院第一医学中心

出　　处：《中国卫生质量管理》2019年第5期104-109,共6页Chinese Health Quality Management

摘　　要：采用课题研究型品管圈活动手法,针对多维度血液保障新方案展开活动.从采血、储血、供血3个维度进行现状调查,明确9大攻坚点,多方拟定对策,从多维度宣传、团队合作、加强用血管理、优化采血模式和环境等方面改进.使科室无偿献血率从44%提高至100%,择期手术患者自体输血评估率提高至90%,限制性输血执行率从39%提高至54%,全面实现了用血信息化管理.多维度血液保障新方案不仅可以在血源短缺条件下保障医疗工作正常运转,而且可以降低患者输血风险,具有一定推广价值.The project research-type quality control circle activity method was adopted to carry out activities for the new multi-dimensional blood protection program. From the three dimensions of blood collection, blood storage and blood supply, the current situation was investigated, and the nine major points were identified. Various measures were drawn up, and improvements were made from multi-dimensional publicity, teamwork, strengthening blood management, optimizing blood collection mode and environment. The blood donation rate of the department was increased from 44% to 100%. The rate of autologous blood transfusion was increased to 90% in elective surgery, and the rate of restrictive blood transfusion was increased from 39% to 54%. The blood information management was fully realized. The multi-dimensional blood safety new program can not only ensure the normal operation of medical work under the condition of shortage of blood supply, but also reduce the risk of transfusion of patients with promotion value,it has certain promotion value.

关 键 词：品管圈 血源短缺 多维度 血液保障 新方案 

分 类 号：R197.3[医药卫生—卫生事业管理]