追踪方法学在临床输血质量评价中的应用

发布时间：2018-06-28 13:22

本文选题：输血质量 + 质量评价　；参考：《中国输血杂志》2016年01期

【摘要】：目的在临床输血质量评价中引入追踪方法学原理,持续改进临床输血质量。方法引入追踪方法学原理,按照《三级综合医院评审实施细则(2011版)》的标准将临床输血质量评价内容分为输血制度、输血科输血质量、医生输血质量、护理输血质量和患者输血质量相关事项,并将上述5大事项细分为28小项。从2015年1月起运用追踪方法学对29个临床科室的输血质量进行检查,实施6个月后比较29个临床科室实施前后的输血质量评价等级。结果运用追踪方法学后临床输血质量得到明显改善,患者输血质量相关事项中的患者隐私;护理输血质量相关事项中的标本采集、护理核对、血袋返还;医生输血质量相关事项中的患者告知、输血前检测、输血指征、用血申请、申请审核、病程记录、效果评价、输血不良反应回报、血液保护、应急用血等14项评价结果差异有统计学意义(P0.05)。结论在临床输血质量评价中引入追踪方法学原理,通过个案追踪和系统追踪,使医护人员形成了系统的思维模式,从医院管理、运行机制和规章制度方面形成有效的改进措施,从而达到临床输血质量的持续改进。
[Abstract]:Objective to continuously improve the quality of clinical blood transfusion by introducing the principle of tracking methodology in clinical blood transfusion quality evaluation. Methods the principle of tracing methodology was introduced and the evaluation contents of clinical blood transfusion quality were divided into transfusion system, blood transfusion quality in transfusion department and doctor transfusion quality according to the standard of "implementation rules for evaluation of tertiary general hospitals (2011 edition)". Nursing transfusion quality and patient transfusion quality related items, and the above 5 items are divided into 28 sub-items. The blood transfusion quality of 29 clinical departments was examined by means of tracking methodology from January 2015. After 6 months of implementation, the evaluation grades of blood transfusion quality were compared before and after the implementation of 29 clinical departments. Results the quality of clinical blood transfusion was improved obviously by the method of tracing, and the patients' privacy in the items related to the quality of blood transfusion, the collection of samples, the nursing check and the return of blood bags in the items related to the quality of nursing transfusion were also improved. The patient who is involved in the doctor's blood transfusion quality-related matters, such as pre-transfusion test, blood transfusion indication, blood application, application for audit, course record, effect evaluation, adverse reaction return of transfusion, blood protection, There were significant differences in 14 evaluation results of emergency blood use (P0.05). Conclusion the principle of tracing methodology is introduced into the evaluation of clinical transfusion quality. Through case tracing and systematic tracing, the medical staff can form a systematic thinking mode and form effective improvement measures in the aspects of hospital management, operation mechanism and rules and regulations. In order to achieve continuous improvement of clinical blood transfusion quality.
【作者单位】：天门市第一人民医院输血科;天门市第一人民医院检验科;
【分类号】：R197.323;R457.1

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