血液标本全程闭环智能路径质量和安全实时控制

发布时间：2018-05-06 11:21

本文选题：血液标本 + 全程闭环　；参考：《中国输血杂志》2017年01期

【摘要】：目的通过构建血液标本全程闭环智能路径,以实现临床用血全程血液标本质量和安全智能路径信息化实时控制。方法依据临床用血全程血液标本管理要素和技术要素的全面质量管理要求,采用智能路径信息化实时控制手段对血液标本的操作和运行路径轨迹进行全程闭环构建。结果 1)通过对血液标本的路径生成、信息识别与核查核对、精确定位保存、有效期与免疫学状态、输血相容性检测状态与结果等操作和运行轨迹的信息智能检索与比对、操作提示与授权的路径化实时控制,实现了血液标本全程闭环智能路径质量和安全的全面质量管理与持续改进,涵盖了供者和患者血液标本;2)血液标本全程闭环路径与临床输血、血液制剂、质量分析与持续改进等路径间无缝对接,实现了全程信息智能共享,具备路径轨迹全程闭环性、实时性、溯源性、智能控制性及质量持续改进等特点,实现了输血检测项目和血液标本免疫学状态实时控制的智能路径化、标准化;3)输血相关项目检测率和血液标本时限符合率的持续改进成效显著(P0.001)。结论血液标本全程闭环智能路径能有效保障临床用血全程血液标本质量和安全的实时控制,提升了临床用血全面质量管理及其智能信息化水平。
[Abstract]:Objective to construct the whole closed loop intelligent path of blood samples in order to realize the information real time control of the quality and safety of blood samples in the whole course of clinical use. Methods according to the total quality management requirements of the whole blood samples and the technical elements of clinical blood samples, the real-time control method of intelligent path information was used to construct the whole closed-loop operation and running path of blood samples. Results 1) Information intelligence retrieval and comparison of the operation and operation track of blood samples, such as path generation, information identification and verification, accurate location preservation, validity period and immunological status, blood transfusion compatibility test status and results, etc. The real-time control of the route of operation hint and authorization realizes the total quality management and continuous improvement of the whole closed-loop intelligent path quality and safety of blood sample. Covering both donor and patient blood samples, the whole closed-loop path of blood sample is connected seamlessly with clinical blood transfusion, blood preparation, quality analysis and continuous improvement, so that the information of the whole course is intelligently shared, and the whole path path is closed loop. With the characteristics of real-time, traceability, intelligent control and continuous improvement of quality, the intelligent path of real-time control of blood transfusion detection items and immunological status of blood samples is realized. The continuous improvement of blood transfusion related item detection rate and blood sample time limit coincidence rate was significant (P 0.001). Conclusion the closed-loop intelligent path of blood samples can effectively guarantee the real-time control of the quality and safety of the whole blood samples for clinical use, and improve the level of total quality management and intelligence information of clinical blood samples.
【作者单位】：南昌大学第一附属医院;江西先锋信息产业有限公司;
【基金】：江西省科技重大项目(20144BBG70001)
【分类号】：R457.1;R197.32

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