应用信息化打造输血闭环管理的探索与实践

发布时间：2018-05-15 21:19

  本文选题：输血安全 + 闭环管理　； 参考：《中国输血杂志》2016年10期

【摘要】：目的输血是在临床中普遍应用的治疗手段。临床输血操作中稍有不慎会造成输血错误,威胁患者输血安全,增加医疗机构的经济损失并影响声誉,所以提高临床输血安全性的需求十分急切。方法通过信息化构建安全输血系统,并将其应用于临床输血,实现输血流程的闭环管理。利用PDA扫描电子腕带芯片、采血试管、取血单和血袋上的条形码记录整个输血全过程的护理活动,从而形成完整的闭环管理。结果安全输血系统不仅极大地避免了临床输血的各种核对差错,而且对《临床输血技术规范》(2000版)及《输液治疗护理实践指南与实施细则》(2009版)中要求的具体关键时间节点有了真实的数据记录。利用信息化手段"强迫"双人核对和提醒各种关键时间节点,从而实现了从"开具输血医嘱-备血-取血-输血-记录"整个输血操作流程的闭环管理。结论输血闭环管理与传统输血相比流程有了明显改进,确实解决了输血护理管理的临床实际需求。
[Abstract]:Objective Blood transfusion is widely used in clinical treatment. A little carelessness in the operation of clinical blood transfusion will cause transfusion errors, threaten the safety of blood transfusion of patients, increase the economic loss of medical institutions and affect the reputation, so the need to improve the safety of clinical blood transfusion is very urgent. Methods A safe blood transfusion system was constructed through information technology and applied to clinical blood transfusion to realize the closed loop management of blood transfusion process. The whole nursing activity of the whole blood transfusion process was recorded by the PDA scanning electronic wrist band chip, the blood test tube and the bar code on the blood bag, so as to form a complete closed loop management. Results the safe blood transfusion system not only avoided all kinds of matching errors in clinical blood transfusion, And there are real data records for the key time nodes required in "Technical Specification of Clinical Transfusion" (2000 edition) and "practice Guide of Infusion Therapy and Nursing practice" (2009 edition). By using the information method of "forcing" double check and reminding all kinds of critical time nodes, the closed-loop management of the whole blood transfusion operation process from "issuing blood transfusion doctor's order-preparing blood-taking blood-recording blood" is realized. Conclusion compared with traditional blood transfusion, close-loop blood transfusion management has been improved obviously, and the actual clinical demand of blood transfusion nursing management has been solved.
【作者单位】： 南京中医药大学卫生经济管理学院;连云港市第一人民医院;
【基金】：江苏现代医院管理研究中心课题(JSY-3-2016-092) 连云港市卫生科研项目(201605)
【分类号】：R457.1
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本文编号：1893983