临床用血危急值初探及管理体会

发布时间：2018-02-24 09:35

本文关键词： 临床用血危急值输血科安全用血　出处：《中国输血杂志》2016年11期 　论文类型：期刊论文

【摘要】：临床用血危急值的设立及管理主要是为了保证临床用血质量和输血安全,通过查阅国内外输血科指南、相关文献并结合医院自身特点我院输血管理委员会建立了14项临床用血危急值项目并于2013年1月纳入临床危急值报告管理程序。本院输血科2013-2015年共记录临床用血危急值554例,实际临床用血248例,占44.8%;通过对临床用血危急值管理实现了急诊用血、正反定型不符和交叉配血不合抢救用血、大量输血等用血100%安全及时;输血不良反应上报处理100%;非计划用血下降50%;输血相关标准差错减少87.5%,有效提高了及时安全用血比率,减少了引发输血事故和医疗纠纷的潜在隐患,对临床用血安全方面起到了很好的警示和管理作用。
[Abstract]:The establishment and management of the critical value of clinical blood use is mainly to ensure the quality of clinical blood and the safety of blood transfusions. By consulting the guidelines of blood transfusion departments at home and abroad, According to the relevant documents and the characteristics of our hospital, 14 items of critical value of clinical blood were established and included in the procedure of clinical critical value reporting on January 2013. A total of 554 cases of critical value of clinical blood were recorded in the Department of Blood Transfusion in our hospital from 2013 to 2015. There were 248 cases of actual clinical blood use, accounting for 44.8 cases, emergency blood use was realized by managing the critical value of clinical blood use, and 100% cases of blood transfusion was safe and timely. Adverse reactions of blood transfusions were reported and dealt with 100 cases; unplanned blood consumption dropped by 50%; errors related to blood transfusion were reduced by 87.5%, which effectively increased the rate of timely and safe use of blood, and reduced the potential hidden dangers that led to blood transfusion accidents and medical disputes. It plays a good role in warning and management of clinical blood safety.
【作者单位】：新疆医科大学第六附属医院输血科;新疆维吾尔自治区人民医院输血科;
【分类号】：R457.1

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