临床用血电子评估监控系统对临床用血的影响

发布时间：2018-06-24 10:56

本文选题：信息化系统 + 监控　；参考：《中国输血杂志》2017年01期

【摘要】：目的评估临床用血电子评估监控系统对规范临床合理用血的成效。方法本院自2013年1月推行用血前后电子评估监控系统,2015年1月推行输血过程监控系统。统计分析2012-2015年手术量,围手术期用血情况,2013-2015年输血不良反应发生情况。结果 2012-2015年手术量持续增长,但围手术期平均用血量却呈下降趋势,2013-2015年血液出库至输血开始间隔平均时间分别为34.38±11.15,35.35±10.56和28.21±5.262 min;2015年间隔时间较前2年显著缩短,P0.05;2013-2015年2 h内输血反馈率分别为41.2%,43.5%和72.3%,2015年较前2年反馈及时率明显升高,P0.05;2013-2015年不良反应发生率分别为1.48%,1.21%及0.81%,2015年输血不良反应发生率显著下降,P0.05。结论建立信息化输血管理系统,促进临床合理用血,提高用血安全。
[Abstract]:Objective to evaluate the effectiveness of electronic evaluation monitoring system for clinical blood use. Methods the blood transfusion monitoring system was introduced in our hospital from January 2013 to January 2015. Statistical analysis of the operating volume in 2012-2015, perioperative blood use and 2013-2015 blood transfusion adverse reactions. Results the number of surgeries continued to increase in 2012-2015. However, the average volume of blood used in the perioperative period showed a downward trend. The average interval between the discharge of blood in 2013-2015 and the beginning of blood transfusion was 34.38 卤11.151.35 卤10.56 and 28.21 卤5.262 mins, respectively, and the interval time in 2015 was significantly shorter than that in the previous two years, and the feedback rate of blood transfusion in 2013-2015 was 41.2% and 72.3%, respectively. The incidence of adverse reactions in 2013-2015 was 1.21% and 0.81%, respectively. The incidence of adverse reactions of blood transfusion in 2015 decreased significantly (P 0.05). Conclusion the establishment of information blood transfusion management system to promote rational clinical use of blood, improve the safety of blood use.
【作者单位】：杭州医学院附属人民医院浙江省人民医院输血科;
【基金】：浙江省医药卫生科技计划项目资助(2016KYB012)
【分类号】：R457.1;R197.32

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