FOCUS-PDCA循环干预对输血时间及输血安全性的影响  

Effects of FOCUS-PDCA Circulation Intervention on Blood Transfusion Time and Blood Transfusion Safety

作　　者：王蒙蒙 贾灵芝[1] 秦晓萌 WANG Mengmeng;JIA Lingzhi;QIN Xiaomeng(Department of Hematology,Binzhou Medical University Hospital,Binzhou 256603,China;不详)

机构地区：[1]滨州医学院附属医院血液内科,山东滨州256603

出　　处：《中国医学创新》2024年第16期86-90,共5页Medical Innovation of China

基　　金：滨州医学院附属医院护理科研项目(BYFYHL-202011)。

摘　　要：目的:探讨FOCUS-PDCA循环干预对输血时间及输血安全性的影响。方法:选取2021年1—6月滨州医学院附属医院450例输血患者作为对照组,实施常规输血管理,选取2021年7—12月本院450例输血患者作为干预组,实施FOCUS-PDCA循环干预。比较两组输血时间、超时输注情况、不规范事件发生情况、输血不良反应、患者满意度。结果:干预组血液制品取回、血液制品开始输注、血液制品输注完毕时间均较对照组短,差异均有统计学意义(P<0.05);干预组超时输注率(6.67%)较对照组(19.78%)更低,差异有统计学意义(P<0.05);干预组不规范事件发生率(1.56%)较对照组(4.00%)低,差异有统计学意义(P<0.05);干预组输血不良反应发生率(4.44%)较对照组(11.33%)低,差异有统计学意义(P<0.05);干预组患者满意度(98.22%)较对照组(93.33%)高,差异有统计学意义(P<0.05)。结论:在输血管理中应用FOCUS-PDCA循环干预,能够缩短输血时间,减少超时输注、不规范事件的发生,降低输血不良反应发生率,提高患者满意度。Objective:To explore the effects of FOCUS-PDCA circulation intervention on blood transfusion time and blood transfusion safety.Method:A total of 450 blood transfusion patients from the Binzhou Medical University Hospital from January to June 2021 were selected as the control group,and received routine blood transfusion management,and 450 blood transfusion patients in our hospital from July to December 2021 were selected as the intervention group,and received FOCUS-PDCA circulation intervention.Blood transfusion time,overtime infusion,occurrence of non-standard events,adverse reactions of blood transfusion and patient satisfaction were compared between the two groups.Result:The time of blood product retrieval,blood product infusion and blood product infusion completion in the intervention group were shorter than those in the control group,the differences were statistically significant(P<0.05).The overtime infusion rate in the intervention group(6.67%)was lower than that in the control group(19.78%),the difference was statistically significant(P<0.05).The incidence of non-standard events in the intervention group(1.56%)was lower than that in the control group(4.00%),the difference was statistically significant(P<0.05).The incidence of adverse transfusion reactions in the intervention group(4.44%)was lower than that in the control group(11.33%),the difference was statistically significant(P<0.05).The patient satisfaction in the intervention group(98.22%)was higher than that in the control group(93.33%),the difference was statistically significant(P<0.05).Conclusion:The application of FOCUS-PDCA circulation intervention in blood transfusion management can shorten the blood transfusion time,reduce the occurrence of overtime infusion and non-standard events,reduce the incidence of adverse reactions of blood transfusion,and improve patient satisfaction.

关 键 词：FOCUS-PDCA循环 输血时间 输血安全性 质量管理 

分 类 号：R473.5[医药卫生—护理学]