2018—2020年湖北省临床用血质量控制指标分析  

Analysis of quality control indexes of clinical blood transfusion in Hubei province from 2018 to 2020

作　　者：徐朴[1] 杨茹 周瑞 任明[3] Xu Pu;Yang Ru;Zhou Rui;Ren Ming(Department of Blood Transfusion,Renmin Hospital of Wuhan University,Wuhan 430060,China;Transfusion Research Department,Wuhan Blood Center,Wuhan 430030,China;Blood Component Preparation Department,Wuhan Blood Center,Wuhan 430030,China)

机构地区：[1]武汉大学人民医院输血科,武汉430060 [2]武汉血液中心输血研究所,武汉430030 [3]武汉血液中心成分制备科,武汉430030

出　　处：《中华医院管理杂志》2022年第12期941-946,共6页Chinese Journal of Hospital Administration

摘　　要：目的分析2018—2020年湖北省临床用血质量控制指标, 探讨临床用血质量管理策略。方法调查2018—2020年湖北省244家二级及以上用血医院的临床用血质量控制数据, 包括每千单位用血输血专业技术人员数、输血相容性检测室内质控率、输血相容性检测室间质评参加率、出院患者人均用血量和手术患者自体输血方式开展率等, 比较各指标之间的差异。结果湖北省2018—2020年各指标总体分析呈逐年升高趋势, 但差异无统计学意义(P>0.05)。各指标在湖北省各地间的分布存在不均衡(P<0.05);三级医院出院患者人均用血量、输血相容性检测室内质控率、输血相容性检测室间质评参加率和手术患者自体输血方式开展率均显著高于二级医院, 而千单位用血输血专业技术人员数低于二级医院, 差异均有统计学意义(P<0.05);综合医院出院患者人均用血量、输血相容性检测室间质评参加率和手术患者自体输血方式开展率显著高于专科医院, 千单位用血输血专业技术人员数显著低于专科医院, 差异均有统计学意义(P<0.05);公立医院输血相容性检测室内质控率、输血相容性检测室间质评参加率和手术患者自体输血方式开展率显著高于民营医院, 但输血专业技术人员数却低于民营医院, 差异均有统计学意义(P<0.05)。结论湖北省临床用血总体质量稳中有升, 但各地区间临床用血质量还存在一定的不平衡, 三级医院显著高于二级医院, 综合医院显著高于专科医院, 公立医院显著高于民营医院, 但三级、综合、公立医院的输血专业技术人员配置有待加强。Objective To explore the quality management strategy of clinical blood utilization by analyzing the quality control indexes of clinical blood transfusion in Hubei province from 2018 to 2020.Methods The quality control indexes of clinical blood utilization in 244 secondary or above hospitals in Hubei province from 2018 to 2020 were investigated,including the number of professional and technical personnel per thousand units of blood transfusion,the internal quality control rate of blood transfusion compatibility test,the participation rate of external quality evaluation in blood transfusion compatibility test,the per capita blood consumption of discharged patients,and the development rate of autologous blood transfusion for patients undergoing surgery,and the differences of each index were compared and analyzed.Results The indexes in Hubei province showed an increasing trend from 2018 to 2020,but there was no significant difference(P>0.05).The distribution of each index in Hubei province was unbalanced(P<0.05).The average blood consumption of discharged patients(0.13±0.14 U),the internal quality control rate of blood transfusion compatibility test(84.92%),the participation rate of external quality evaluation of blood transfusion compatibility test(93.65%)and the development rate of autologous blood transfusion(55.56%)in the tertiary hospitals were significantly higher than those in the secondary hospitals(0.09±0.10 U,43.22%,55.08%,29.66%),while the number of professional and technical personnel of blood transfusion in thousand units(1.34±1.43)in the tertiary hospitals was significantly lower than that in secondary hospitals(2.41±2.39)(P<0.05).The average blood consumption of discharged patients(0.12±0.11 U),the participation rate of external quality evaluation of blood transfusion compatibility(82.18%)and the development rate of autologous blood transfusion(62.64%)in general hospitals were significantly higher than those in specialized hospitals(0.08±0.13 U,68.57%,27.14%),while the number of professional and

关 键 词：临床用血 质量控制指标 质量管理 湖北省 

分 类 号：R197.323[医药卫生—卫生事业管理]