运用输血核查表提升新生儿输血护理质量的实践与效果分析  

Application of blood transfusion checklist to improve the quality of nursing care in neonatal blood transfusion

作　　者：张彦[1] 马月兰[1] 聂玲 ZHANG Yan;MA Yuelan;NIE Ling(Department of Neonatology,Suzhou Municipal Hospital,Suzhou,Jiangsu,215002)

机构地区：[1]南京医科大学附属苏州医院江苏省苏州市立医院新生儿科

出　　处：《中西医结合护理（中英文）》2019年第12期112-115,共4页Journal of Clinical Nursing in Practice

基　　金：长三角极超低出生体重早产儿精细化照护技术的联合攻关项目(18495810800);苏州市“科教兴卫”青年科技项目(KJXW2018029)

摘　　要：目的探讨新生儿输血核查表在提升新生儿输血护理质量中的应用效果。方法根据《临床输血技术规范》和《输血查对制度》,设计新生儿输血核查表并应用于新生儿临床输血。选取应用输血核查表之前(2018年7月-12月)新生儿输血446例次作为对照组,应用输血核查表之后(2019年1月-6月)的新生儿输血600例次作为观察组。比较应用前后2组输血前15 min巡视率、双签名完成率、输血信息记录完整率、输血不良事件发生情况。结果观察组输血前15 min巡视率、双签名完成率、输血信息记录完整率均高于对照组,差异有统计学意义(P<0.01)。观察组输血不良事件发生率低于对照组,差异有统计学意义(P<0.05)。结论应用新生儿输血核查表可提高新生儿科护士输血流程执行的准确性及新生儿输血护理质量,保障输血安全。Objective To explore the application effect of blood transfusion checklist in improving the quality of nursing care in neonatal blood transfusion. Methods A checklist was designed according to the technical specification and checking system of clinical blood transfusion. Totally 446 times of blood transfusion administrated before application of the checklist(July to December, 2018) were included as the control group, and 600 times of blood transfusion administrated after application of the checklist(January to June, 2019) were included as the observation group. The implementation rate of the inspection 15 min before transfusion, completion rate of double-signature, complete rate of transfusion information recording, incidence of adverse events in blood transfusion were compared between the two groups. Results The implementation rate of the inspection 15 min before transfusion, completion rate of double signature, complete rate of transfusion information recording were significantly improved compared with those in the control group(P<0.01). The incidence of adverse events in experimental group was lower than that in control group, with a significant difference(P<0.05). Conclusion The application of blood transfusion checklist can improve the quality of nursing care in neonatal blood transfusion and ensure the safety of blood transfusion.

关 键 词：新生儿 输血安全 护理质量 护理管理 

分 类 号：R192.6[医药卫生—卫生事业管理]