基于血库前移的全流程智慧输血管理模式的构建与应用  

Construction of whole-process smart transfusion management model based on blood bank forward and its clinical practice

作　　者：尹霄朦 郭小庆[1] 程聪 刘海涛[3] 孙秀杰[4] YIN Xiao-meng;GUO Xiao-qing;CHENG Cong;LIU Hai-tao;SUN Xiu-jie(Dept.of Hematology,Qingdao Hospital,University of Health and Rehabilitation Sciences(Qingdao Municipal Hospital),Qingdao 266071,China;Dept.of Blood Transfusion,Qingdao Hospital,University of Health and Rehabilitation Sciences(Qingdao Municipal Hospital),Qingdao 266071,China;Dept.of Information Management,Qingdao Hospital,University of Health and Rehabilitation Sciences(Qingdao Municipal Hospital),Qingdao 266071,China;Dept.of Nursing Administration,Qingdao Hospital,University of Health and Rehabilitation Sciences(Qingdao Municipal Hospital),Qingdao 266071,China)

机构地区：[1]康复大学青岛医院(青岛市市立医院)血液科,山东青岛266071 [2]康复大学青岛医院(青岛市市立医院)输血科,山东青岛266071 [3]康复大学青岛医院(青岛市市立医院)信息管理科,山东青岛266071 [4]康复大学青岛医院(青岛市市立医院)护理部,山东青岛266071

出　　处：《护理学报》2024年第22期12-17,共6页Journal of Nursing（China）

基　　金：青岛市输血协会2020年科技支持项目(2020-qdsx03);2024年度山东省医务系统职工科技创新计划项目(第47号)。

摘　　要：目的基于血库前移构建全流程智慧输血管理模式,将血库前移在用血科室,实现血液的全流程智慧化管理,探讨该模式的临床实践效果。方法研发智能血液柜、物联网恒温冷藏箱,构建全流程智慧输血信息管理系统,于2022年1—6月试应用于血液科,通过血液输注前脱离冷链时间、输血护理记录合格率、取单次血袋耗费时长、白班时段输血量占比进行该模式的临床实践评价。结果血库前移后,血液输注前脱离冷链时间由(25.11±3.20)min缩短为(6.08±2.57)min(t=155.991,P<0.001)、输血护理记录合格率由84.94%上升至97.22%(χ^(2)=503.096,P<0.001)、取单次血袋耗费时长由(19.39±3.27)min缩短为(2.05±1.07)min(t=170.680,P<0.001)、白班时段输血量占比由54.90%上升至85.07%(χ^(2)=168.540,P<0.001),差异均有统计学意义(P<0.001)。结论基于血库前移的全流程智慧输血管理模式提高了血液管理水平,保障了输血质量,最大程度地保障了患者的输血安全,同时也优化了临床工作流程,提高了护士工作效率。Objective To construct a whole-process smart transfusion management model based on blood bank forward,to move the blood bank toward the departments of blood use,to realize the whole-process smart management of blood,and to explore the clinical effect of this model.Methods Smart blood cabinet and“the Internet of Things”refrigerated boxes with constant temperature were developed.A whole-process smart transfusion information management system was applied in hematology department.Clinical practice of this model was evaluated through measuring the time the blood withdrawn from the cold chain before transfusion,the qualified rate of transfusion nursing records,the time consumed per single blood bag transfusion and the proportion of transfusions during day shifts.Results After the blood bank was moved forward,the time the blood withdrawn from the cold chain before transfusion was shortened from(25.11±3.20)min to(6.08±2.57)min(t=155.991,P<0.001);the qualified rate of blood transfusion nursing records increased from 84.94%to 97.22%(χ^(2)=503.096,P<0.001);the time consumed per single blood bag transfusion was shortened from(19.39±3.27)min to(2.05±1.07)min(t=170.680,P<0.001),and the proportion of transfusions during day shifts increased from 54.90%to 85.07%(χ^(2)=168.540,P<0.001).Conclusion The whole-process smart transfusion management model based on blood bank forward has improved blood management,quality of blood transfusion and safety of blood transfusion.It has also optimized clinical workflow and improved nurse work efficiency.

关 键 词：RFID技术 血库前移 智慧护理 临床用血安全 

分 类 号：R47[医药卫生—护理学] G931.3[医药卫生—临床医学]