江西省采供血过程控制质量评价体系的研究  

Research on the Quality Evaluation System of Blood Collection and Supply Process Control in Jiangxi Province

作　　者：鲍琳 熊建平 刘丽珍 袁小玲 张莹莹 贺丽娜 杨卫红 BAO Lin;XIONG Jian-ping;LIU Li-zhen;YUAN Xiao-ling;ZHANG Ying-ying;HE Li-na;YANG Wei-hong(Yichun Central Blood Station,Yichun 336000,China;Nanchang Central Blood Station,Nanchang 330025,China;Yingtan Central Blood Station,Yingtan 335000,China)

机构地区：[1]宜春市中心血站,江西宜春336000 [2]南昌市中心血站,江西南昌330025 [3]鹰潭市中心血站,江西鹰潭335000

出　　处：《宜春学院学报》2024年第9期70-73,121,共5页Journal of Yichun University

基　　金：江西省卫生健康委科技计划项目(编号:202312237)。

摘　　要：目的:调查分析江西各血站采供血过程控制质量评价的情况,探索建立符合江西区域特色的过程控制质量评价体系。方法:收集、整理、评估2020年~2022年江西各血站的采供血过程控制相关质量指标等数据,通过对标对表,进行系统有效的质量评价。结果:2020年~2022年全省年共采集全血1346393人次,200 mL占比约13.51%,300 mL占比约30.30%,400 mL占比约55.15%,采血不足量(低于90 mL)占比约1.008%。血液检验不合格率为1.6%,非正常报废率为4.61%,其中脂肪血占比最高,达到了77.2%。不足量/超量和过期分别为4.35%和3.45%。结论:江西各血站基本实施质量体系管理,采供血过程控制取得一定成效。2020年~2022年新冠疫情期间江西省加大了无偿献血宣传招募和应急措施,固定献血者的比例提高,应急采血能力进一步加强。应有效贯彻质量管理精神,重点实施标准化管理,构建适宜江西地区发展的覆盖采供血全过程的质量监测和评价体系,确保最大限度的血液安全,促进全省血液安全管理水平呈现螺旋式上升。Objective:Investigate and analyze the quality control situation of blood donation and supply processes in various blood stations in Jiangxi Province,and explore the establishment of a process control quality evaluation system that suits the regional characteristics of Jiangxi.Methods:Collect,sort,assess the relevant quality indicators of blood donation and supply processes from various blood stations in Jiangxi from 2020 to 2022.Using benchmarking and tabulation to conduct a systematic and effective quality assessment.Results:By comparison,from 2020 to 2022,the total number of blood donations in Jiangxi Province was 1,346,393,with 200mL accounting for about 13.51%,300mL for about 30.30%,and 400ml for about 55.15%.The rate of inadequate blood collections(less than 90ml)was about 1.008%.The failure rate for blood tests was 1.6%,and the abnormal scrap rate was 4.61%,among which fatty blood had the highest percentage,reaching 77.2%.Undercapacity,overcapacity and expired were 4.35%and 3.45%,respectively.Conclusion:Basic implementation of quality management systems has been carried out in various blood stations in Jiangxi Province,and some results have been achieved in the control of blood donation and supply processes.During the COVID-19 pandemic from 2020 to 2022,the province stepped up efforts to promote and recruit voluntary blood donors,as well as emergency measures,resulting in an increase in the proportion of regular donors and the enhancement of rapid blood collection capabilities.It is important to effectively implement the spirit of quality management,focus on standardized management,and establish a comprehensive quality monitoring and evaluation system that covers the entire process of blood donation and supply,to ensure maximum blood safety and promote the continuous improvement of blood safety management levels in the province.

关 键 词：采供血 过程控制 质量评价 血液安全 

分 类 号：R197[医药卫生—卫生事业管理]