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作 者:季丽萍[1] 冯丹[2] JI Liping;FENG Dan(Department of Nursing,Rugao People's Hospital,Nantong 226500,China;Department of Hematology, Rugao People's Hospital, Nantong 226500,China)
机构地区:[1]如皋市人民医院护理部,江苏南通226500 [2]如皋市人民医院血液科,江苏南通226500
出 处:《医药高职教育与现代护理》2021年第1期16-19,共4页Medical Higher Vocational Education and Modern Nursing
基 金:南通市科技计划项目(MSZ20059)。
摘 要:目的实现基于移动护理终端(PDA)使用的多学科诊疗模式(MDT)下的输血闭环管理,以期规范全程输血管理。方法通过PDA与院内HIS、LIS等系统的集成,构建并导入输血管理系统中合理用血及三级用血审批流程、临床护理输血流程、输血质量及不良反应监测等模块,建立输血闭环管理系统。运用移动护理信息系统,从交叉配血、领取血制品、最后到患者床旁输注血制品等形成了一个完整的全流程链。对比实施前(对照组,2019年一、二季度如皋市人民医院2052例输血病例)和实施后(观察组,2020年一、二季度2086例输血病例)的输血质量监测指标。结果观察组输血病例30 min内输注率、输血前15 min巡视执行率、规定时间内输血执行完成率均优于对照组,差异有统计学意义(P<0.05)。结论基于PDA使用的MDT输血闭环管理加强了临床用血规范化、制度化、科学化,提高了工作效率和临床用血安全性,同时彰显了多部门合作的优势,值得进一步推广和应用。Objective To realize the closed-loop management of blood transfusion based on the multi-disciplinary diagnosis and treatment mode(MDT)used by PDA,so as to standardize the whole process management of blood transfusion.Methods Through the integration of PDA,HIS,LIS and other systems in the hospital,the blood transfusion management system was built with the modules of blood transfusion management system including the approval process of rational blood use and three-level blood use,clinical nursing blood transfusion process,blood transfusion quality and adverse reaction monitoring and a closed-loop blood transfusion management system being established.Compared the results before and after the implementation of the project.Results Compared with the results before the implementation of the project,the rates of 30 minutes transfusion,patrol inspection within 15 minutes and the completion of blood transfusion implementation within the specified time increased significantly(P<0.05).Conclusions The closed-loop management of MDT blood transfusion based on PDA strengthens the standardization and systematization of clinical blood transfusion,which improves the work efficiency and clinical safety.It is worthy of further promotion.
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