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目的通过总结我院开展临床科室用血管理与评价工作,探讨基层医院在信息化建设滞后的情况下,加强临床用血监管的措施。方法将我院2012-2014年临床用血质量管理体系的改进与运行情况,用血质量管理评价的指标制定及评价的方法应用进行总结分析,比较开展临床用血管理与评价后临床输血质量指标的变化,总结临床用血管理与评价工作产生的作用。结果我院临床科室科学合理用血情况得到明显好转,输血申请单各项指标的审核逐年完整规范,全年大量用血上报率达100%,全年超备血量用血人次逐年下降,全院的自体输血率逐年提高,输血适应症符合率也逐年提升。结论在基层医院开展临床科室用血管理与评价工作,建立用于临床合理用血评价体系及方法,可有效促进了临床用血管理的持续改进,达到安全、合理用血的目的。
Objective To summarize the blood management and evaluation of clinical departments in our hospital and to explore the measures to strengthen the supervision of clinical blood with the lag of information construction in primary hospitals. Methods The improvement and operation of clinical blood quality management system in our hospital from 2012 to 2014 were summarized and analyzed with the application and development of methods for the evaluation and evaluation of blood quality management. The clinical transfusion quality indicators Changes, summarize the clinical use of blood management and evaluation of the role. Results The scientific and rational use of blood in clinical departments of our hospital was significantly improved. The review of various indicators of transfusion application form was completely standardized year by year. The reporting rate of large amount of blood was 100% throughout the year. Hospital autologous blood transfusion rate increased year by year, the transfusion response coincidence rate also increased year by year. Conclusions It is necessary to establish a clinical evaluation system and method for clinical use of blood in clinical departments of grassroots hospitals, which can effectively promote the continuous improvement of clinical blood management and achieve the goal of safe and rational use of blood.