临床输血与检验2017，Vol.19Issue(3)：237-239,3.DOI:10.3969/j.issn.1671-2587.2017.03.008
皖北某地31家医院临床输血病历的评价情况分析
Basic Evaluation Analysis of 31 Medical Records of Clinical Blood Transfusion in Northern Anhui
孙友岭 1李涛 1徐晶晶 1周涛 1万胜全1
作者信息
- 1. 232007 安徽省淮南市中心血站(淮南市临床用血质控中心)
- 折叠
摘要
Abstract
Objective Based on the evaluation,the relevant evaluation To find the weak link of clinical blood transfusion,medical record of clinical blood transfusion was evaluated.Method 148 cases of medical records about blood transfusion were chosen from 31 hospitals in which have carried out blood transfusion,the medical records of blood transfusion were evaluated by the criteria such as,orders of blood transfusion,inspection results before blood transfusion,application of blood transfusion,informed consent of blood transfusion,progress notes of blood transfusion, records of blood transfusion progress,grasp of blood transfusion indications,the rate of component transfusion and the rate of red cell utilization.Result71% of cases had no history of blood transfusion or pregnancy description; 3% of cases had the errors of blood transfusion type; 29% of cases had no signature on the cross matching blood list; 26% of cases had no doctor signature or date on the informedconsent of blood transfusion; 48% of cases didn't establish clinical blood examination and approval system or had unqualified applications; 97% of cases had defective evaluation content of blood transfusion; 3% of cases had no efficacy evaluation after transfusion or the transfusion evaluation was not specific; 45% of cases had no dual signature of transfusion execution; The patient's vital signs were not recorded at the beginning and the end of the 15 minutes of infusion in 84% of cases; 13% of cases had unreasonable indications of red blood cell transfusion. 61% of cases had unreasonable indications of FFP; the preservation of blood bags didn't meet the requirements after the blood transfusion in 19% of cases.Conclusion The specific evaluation of blood transfusion can help to improve the quality of clinical blood transfusion records,improve the management process of clinical blood transfusion,and ensure the scientific and rational use of clinical blood. At the same time,it can improve the management process of clinical transfusion,to find out the unqualified items of blood transfusion medical record,make continuous improvement,ensure scientific and rational use of blood for clinical use.关键词
输血病历/评价标准/输血管理/依法用血Key words
Records of blood transfusion/Evaluation criteria/Blood transfusion management/Blood use in accordance with the law分类
医药卫生引用本文复制引用
孙友岭,李涛,徐晶晶,周涛,万胜全..皖北某地31家医院临床输血病历的评价情况分析[J].临床输血与检验,2017,19(3):237-239,3.
