临床用血评价系统的建立与应用

发布时间：2018-01-14 21:28

本文关键词：临床用血评价系统的建立与应用　出处：《中国输血杂志》2017年08期 　论文类型：期刊论文

【摘要】：目的通过对本院临床用血评价系统建立后相关数据的分析,探讨更加有效、合理的评价方法与考核指标,推进临床科学合理用血,节约血液资源。方法制定临床合理用血评估及公示制度,建立本院输血适应证,严格分级分层管理,严格执行临床用血申请分级审批、计划符合性评价、输血前适应证和输血后效果评价及输血病历抽查考核,总结分析2012-2014年之间用血趋势及合理用血评价相关指标数据。结果经过实践临床用血评价系统后,用血趋势上:2013年和2014年相比2012年,手术台次和出院人次及用血量均有所增加,但2013年单位手术台次红悬用量由2012年的0.4 U降至0.28 U、血浆用量由2012年的0.47 U降至0.14 U;单位出院人次红悬用量由2012年的0.14 U降至0.11 U、血浆用量由2012年的0.16 U降至0.06 U,2014年相比2013年单位手术和单位出院人次红悬的用量持续下降,血浆用量基本持平。合理用血上:2013年比2012年红悬合格率,输血申请单合格率,计划符合性合格率,及自体输血率均有所提高,2014年较2013年血浆的合理用血也有所提高。结论通过制定和完善临床用血评价制度,建立临床合理用血评价体系,加强临床用血管理,能有效促进我院临床合理用血并节约血液资源。
[Abstract]:Objective to analyze the relevant data for the clinical evaluation of blood system, to explore more effective evaluation method and evaluation index, promote clinical reasonable, scientific and rational use of blood, save blood resources. Methods to develop the clinical blood transfusion assessment and publicity system, the establishment of the hospital transfusion indications strictly, strictly hierarchical management. Implementation of clinical blood use application classification approval, plan compliance assessment, before transfusion indications and after blood transfusion and blood transfusion records to evaluate the effect of sample examination, analyzed between 2012-2014 blood trend and evaluation of rational use of blood related indicators data. Results after the practice of clinical blood use evaluation system, blood trend: 2013 and 2014 compared with 2012, the operation times and discharges and blood volume increased, but in 2013 the unit operation number of suspended red dosage in 2012 from 0.4 U to 0.28 U, with the amount of plasma from 0 in 2012 .47 U to 0.14 U; the unit discharges the amount of red blood cells from 2012 0.14 U to 0.11 U, the amount of plasma from 0.16 U in 2012 to 0.06 U in 2014 compared to 2013, unit operation and unit discharges of suspended red consumption continued to decline, the amount of plasma flat. Reasonable use of blood: in 2013 than in 2012 red qualified suspension blood transfusion application rate, pass rate, pass rate of compliance plan, and autologous blood transfusion were improved in 2014 compared with 2013, the reasonable use of blood plasma also increased. Conclusion through the development and improvement of clinical blood use evaluation system, the establishment of clinical blood transfusion evaluation system, strengthen the management of clinical blood use, can effectively promote our hospital clinical blood transfusion and save blood resources.

【作者单位】：成都市第二人民医院输血科;
【分类号】：R197.3;R457.1
【正文快照】： 血液制品是一种特殊的医疗用品,输血治疗是治疗某些疾病和抢救治疗的重要手段[1]。但输血也存在感染经血传播性疾病等风险,同时近几年我国临床用血快速增长,全国许多地方血液供应紧缺已成为常态[1]。作为大型综合医院,我们贯以提高合理用血水平,使每次输血治疗尽可能取得预期

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