智慧输血信息管理系统在围术期血液管理中的应用探讨

发布时间：2018-01-15 18:26

本文关键词：智慧输血信息管理系统在围术期血液管理中的应用探讨　出处：《中国输血杂志》2017年05期 　论文类型：期刊论文

【摘要】：本文旨在构建智慧输血信息管理系统,探讨其在减少同源异体输血;降低输血相关感染风险、减少输血并发症和避免输血管理差错等几方面来促进和保障手术患者围术期安全,提高围术期血液管理水平的作用。通过连接、整合输血信息管理系统与医院信息系统、实验室信息系统、手术和麻醉系统,实现相关信息共享;将围术期患者术前用血评估与输血预测、术中各种血液保护管理措施信息、术中取血与血液输注管理、术后用血评价与病程记录、输血不良事件报告等环节要素串联成一个环环相扣的工作流程,防止过程或要素遗漏,减少人为干预,使围术期血液管理做到智能化、数字化和规范化。选取智慧输血管理系统应用前后各1 000例手术病人,评价其在围手术期血液管理中的作用。围术期患者同源异体血输注率明显降低,自体输血率大幅提升,不合理输血率明显降低,杜绝了输血安全事故的发生,确保手术患者用血安全。智慧输血信息管理系统的构建能有效提高手术输血管理水平,促进和保障手术患者输血安全。
[Abstract]:The purpose of this paper is to construct an intelligent blood transfusion information management system and to explore its role in reducing homologous blood transfusion. To reduce the risk of transfusion related infection, reduce the complications of blood transfusion and avoid the mistakes in blood transfusion management to promote and protect the perioperative safety of patients, improve the perioperative level of blood management. Integration of blood transfusion information management system with hospital information system, laboratory information system, surgery and anesthesia system, to achieve information sharing; Preoperative blood evaluation and blood transfusion prediction, intraoperative blood protection management information, intraoperative blood collection and blood transfusion management, postoperative blood use evaluation and course of disease were recorded. Blood transfusion adverse events report and other elements in series into a linked work flow, to prevent the process or elements missing, reduce human intervention, so that perioperative blood management to achieve intelligent. To evaluate the role of intelligent blood transfusion management system in perioperative blood management, 1 000 patients before and after operation were selected to evaluate their role in perioperative blood management. The rate of homologous blood transfusion was significantly decreased in perioperative patients. The rate of autologous blood transfusion was greatly increased, and the rate of unreasonable blood transfusion was obviously reduced, which put an end to the occurrence of safety accidents of blood transfusion. The construction of intelligent blood transfusion information management system can effectively improve the level of blood transfusion management and promote and guarantee the safety of blood transfusion.
【作者单位】：青岛大学附属医院输血科;青岛大学附属医院心外科;
【分类号】：R457.1
【正文快照】： 输血治疗是临床上许多疾病的有效治疗措施,也是手术患者大出血时生命安全的保障,但是同源异体输血也存在很多风险,其中一些并发症甚至危及患者生命[1]。目前我国部分医院围手术期输血仍缺乏规范的管理措施,临床医师的输血仍以经验指导所占权重比较大,造成了围术期血液不合理输

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