山东省血站献血服务、成分制备及血液供应过程质量监测指标体系的应用  

Quality monitoring indicator system in blood banks of Shandong:applied in blood donation servicesꎬcomponent preparation and blood supply process

作　　者：吴玉清 周洪 张志杰 戎志全 李雪梅 宋哲 赵淑红 杨忠思 刘群 朱琳 范晓娟 孙庶丽 张韦 韩金玉 黄海燕[11] 刘广彩 陈平 安宪武 张惠 任俊霞 李雪晶 杨晨曦[17] 周博 叶辉[2] 谯铭铭 申华[2] 贡觉顿珠 庄云龙[2] WU Yuqing;ZHOU Hong;ZHANG Zhijie;RONG Zhiquan;LI Xuemei;SONG Zhe;ZHAO Shuhong;YANG Zhongsi;LIU Qun;ZHU Lin;FAN Xiaojuan;SUN Shuli;ZHANG Wei;HAN Jinyu;HUANG Haiyan;LIU Guangcai;CHEN Ping;AN Xianwu;ZHANG Hui;REN Junxia;LI Xuejing;YANG Chenxi;ZHOU Bo;YE Hui;QIAO Mingming;SHEN Hua;GONGJUE Dunzhu;ZHUANG Yunlong(Qingdao Central Blood Bank,Qingdao 266071,China;Shandong Provincial Blood Center;Weifang Central Blood Bank;Yantai Central Blood Bank;Zibo Central Blood Bank;Dongying Central Blood Bank;Rizhao Central Blood Bank;Weihai Central Blood Bank;Binzhou Central Blood Bank;Heze Central Blood Bank;Jining Central Blood Bank;Linyi Central Blood Bank;Liaocheng Central Blood Bank;Zaozhuang Central Blood Bank;Dezhou Central Blood Bank;Jinan Blood Supply and Protection Center;Tai′an Central Blood Bank)

机构地区：[1]青岛市中心血站,山东青岛266071 [2]山东省血液中心 [3]潍坊市中心血站 [4]烟台市中心血站 [5]淄博市中心血站 [6]东营市中心血站 [7]日照市中心血站 [8]威海市中心血站 [9]滨州市中心血站 [10]菏泽市中心血站 [11]济宁市中心血站 [12]临沂市中心血站 [13]聊城市中心血站 [14]枣庄市中心血站 [15]德州市中心血站 [16]济南市血液供保中心 [17]泰安市中心血站

出　　处：《中国输血杂志》2024年第3期275-282,共8页Chinese Journal of Blood Transfusion

基　　金：山东省级医疗质量管理工作项目(2018-2022)。

摘　　要：目的建立有效的献血服务、成分制备及血液供应过程质量指标监测体系,客观地评价血液采集、制备和供应过程的质量控制水平,促进血站采供血过程的持续优化和标准化管理。方法建立覆盖采供血全过程的献血服务、成分制备、血液检测、血液供应和质量控制的质量监测指标体系,向山东省17家血站发放《采供血过程质量监测指标统计表》,明确指标定义和计算公式,收集各血站2022年1—12月质量监测指标数据,利用SPSS25.0软件对其中的献血服务(10个)、成分制备(7个)和血液供应(4个)3个方面21个质量监测指标数据进行统计学分析,并比较了不同规模血站质量监测指标的差异。结果17家血站献血服务过程质量监测指标平均值分别为:定期献血者比例44.66%(2233/5000)、献血不良反应发生率0.22%(11/50)、非标量全血采集率0.46%(23/5000)、HBsAg初筛漏检率0.052%(13/25000)、血液采集一针率99.42%(4971/5000)、双份单采血小板采集率86.49%(173/200)、400 mL全血采集率66.50%(133/200)、献血者满意度99.25%(397/400)、带旁路留样系统全血采集袋使用率82.68%(2067/2500)、血液采集职业暴露发生数1例;定期献血者比例和400 mL全血采集率具有较强的正相关(P<0.05);大型血站双份单采血小板采集率、献血不良反应发生率和非标量全血采集率显著低于中、小型血站(P<0.05)。17家血站成分制备过程质量监测指标平均值分别为:血液成分制备血袋破损率0.03%(3/10000)、乳糜血报废率3.05%(61/2000)、溶血报废率0.13%(13/10000)、贴签错误发生数0.06件、血液导管渗漏数8袋、血液穿刺/接驳渗漏数2.76袋、耗材不合格数0.59件;大型血站溶血报废率显著低于中型和小型血站(P<0.05)、大型和中型血站乳糜血报废率显著低于小型血站(P<0.05)。17家血站血液供应过程质量监测指标平均值分别为:血液制剂过期报废率0.023%(23/100000)、血液制剂Objective To establish an effective quality indicator monitoring system,scientifically and objectively evaluate the quality management level of blood banks,and achieve continuous improvement of quality management in blood bank.Methods A quality monitoring indicator system that covers the whole process of blood collection and supply was established,the questionnaire Statistical Table of Quality Monitoring Indicators for Blood Collection and Supply Process with clear definition of indicators and calculation formulas was distributed to 17 blood banks in Shandong.Statistical analysis of 21 quality monitoring indicators in terms of blood donation service(10 indicators),blood component preparation(7 indicators),and blood supply(4 indicators)from each blood bank from January to December 2022 were conducted using SPSS25.0 software The differences in quality monitoring indicators of blood banks of different scales were analyzed.Results The average values of quality monitoring indicators for blood donation service process of 17 blood banks were as follows:44.66%(2233/5000)of regular donors proportion,0.22%(11/50)of adverse reactions incidence,0.46%(23/5000)of non-standard whole blood collection rate,0.052%(13/25000)of missed HBsAg screening rate,99.42%(4971/5000)of single blood collection rate first,puncture successful rate,86.49%(173/200)of double platelet collection rate,66.50%(133/200)of 400 mL whole blood collection rate,99.25%(397/400)of donor satisfaction rate,82.68%(2067/2500)of use rate of whole blood collection bags with bypass system with sample tube,and 1 case of occupational exposure in blood collection.There was a strong positive correlation between the proportion of regular blood donors and the collection rate of 400 mL whole blood(P<0.05).The platelet collection rate,incidence of adverse reactions to blood donation,and non-standard whole blood collection rate in large blood banks were significantly lower than those in medium and small blood banks(P<0.05).The average quality monitoring indicators for blood co

关 键 词：血站 献血服务 成分制备 血液供应 质量监测指标体系 比对 

分 类 号：X830.5[环境科学与工程—环境工程] TU318.4[建筑科学—结构工程]