1941份临床输血病历持续改进调查分析

发布时间：2018-10-21 11:09

【摘要】：目的通过对输血病历质量进行评估分析,提高临床合理用血水平和输血病历质量。方法对本院2012-2014年输血患者出院病历的抽查结果进行回顾性分析及比较。结果抽查的1 941份输血患者病历,2012-2014年临床合理用血率分别为80.7%(381/472)、98.0%(765/781)及98.7%(679/688),2013年与2012年相比显著提高(χ2=111.840,P0.05)。2012-2014年临床输血病历中输血病程记录合格率分别为30.1%(142/472)、57.6%(450/781)及76.7%(528/688),2013年与2012年、2014年与2013年相比均有显著性差异(χ2分别为89.485、60.128,P0.05)。结论定期分析和评估临床用血情况、抽查临床输血病历合理性、规范性,结果纳入临床科室及临床医师的考核,通过持续改进提高合理用血水平及输血病历质量,保障科学、合理、安全及有效输血。
[Abstract]:Objective to evaluate and analyze the quality of blood transfusion records in order to improve the clinical reasonable blood use and the quality of blood transfusion records. Methods retrospective analysis and comparison were made on the medical records of blood transfusion patients discharged from our hospital from 2012 to 2014. Results among the 1 941 cases of blood transfusion, the rational clinical blood use rates in 2012-2014 were 80.7% (381 / 472), 98.0% (765 / 781) and 98.7% (679 / 688), respectively, and significantly increased in 2013 compared with 2012 (蠂 ~ 2 / 111.840P 0.05). The eligible rates of course of blood transfusion in 2012-2014 were 30.1% (142,472), 57.6% (450 / 781) and 76.7% (528r688), respectively. In 2013, 2012, 2014 and 2014, the eligible rates of transfusion course were 30.1% (142.472), 57.6% (450 / 781) and 76.7% (528P / 688), respectively. There were significant differences in 2013 (蠂 2 = 89.485, 60.128, P 0.05). Conclusion the clinical blood use is analyzed and evaluated regularly, and the clinical blood transfusion cases are checked on the basis of rationality and standardization. The results are included in the examination of clinical departments and clinicians, and the reasonable blood use level and the quality of blood transfusion medical records are continuously improved to ensure the science. Reasonable, safe and effective blood transfusion.
【作者单位】：重庆医科大学附属第二医院输血科;
【分类号】：R457.1;R197.323

【相似文献】