诊断学理论与实践Issue(4)：419-421,3.DOI:10.3969/j.issn.1671-2870.2014.04.016
输血病历质量分析与医疗安全
Quality analysis of blood transfusion record and transfusion safety
金燕萍 1朱敏华 1江铭1
作者信息
- 1. 上海交通大学医学院附属瑞金医院卢湾分院放免检验科，上海 200020
- 折叠
摘要
Abstract
Objective: To analyze the blood transfusion problems, improve writing quality of blood transfusion record, strengthen the quality of hospital record management, and improve the safety of blood transfusion. Methods: In accordance with the "fundamental requirements of medical record" and "technical specifications of blood transfusion", standardized quality inspection of blood transfusion record was formulated and quality analysis of 1 856 blood transfusion records within 3 years was performed, and preventive measures were suggested. Results: Blood transfusion record met the inspection standard accounted for 83.1%(1 543/1 856), and 16.9% (313 / 1 856) did not meet the inspection standard. The inspection standard meeting rate in non-surgery departments was significantly higher than that of surgery departments (P<0.001). Of the 313 not qualified transfusion records, records not fulfilled the requirements of transfusion record accounted for 64.5%(202/313), and unqualified consent form accounted for 29.4%(92/313). Conclusions: Regular quality inspection and quality supervision of blood transfusion record could improve effectively the quality of blood transfusion record, enhancing blood transfusion management, ensuring transfusion safety and avoiding medical dispute.关键词
输血/输血病历/合理输血/医疗纠纷Key words
Blood transfusion/Transfusion records/Reasonable blood transfusion/Medical dispute分类
医药卫生引用本文复制引用
金燕萍,朱敏华,江铭..输血病历质量分析与医疗安全[J].诊断学理论与实践,2014,(4):419-421,3.
