• 中国科学论文统计源期刊
  • 中国科技核心期刊
  • 美国化学文摘(CA)来源期刊
  • 日本科学技术振兴机构数据库(JST)

临床输血与检验 ›› 2023, Vol. 25 ›› Issue (4): 514-517.DOI: 10.3969/j.issn.1671-2587.2023.04.016

• 调查研究 • 上一篇    下一篇

2020年全国临床用血质量控制指标调研分析

聂志扬1, 赵学彬1, 马婉茹1, 李淑萍2   

  1. 1北京医院国家老年医学中心输血科,北京 100730;
    2首都医科大学附属北京同仁医院输血科,北京 100730
  • 收稿日期:2023-06-19 出版日期:2023-08-20 发布日期:2023-09-18
  • 通讯作者: 李淑萍,主要从事输血管理,(E-mail)lishp@163. com。
  • 作者简介:聂志扬,主要从事临床用血管理及输血治疗、单采治疗,(E-mail)vilio0808@sina.com。

Survey and Analysis of National Quality Control Index to Clinical use of Blood in 2020

NIE Zhiyang, ZHAO Xuebin, MA Wanru, et al   

  1. Transfusion Department, Beijing Hospital, National Center of Gerontology; Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing 100730
  • Received:2023-06-19 Online:2023-08-20 Published:2023-09-18

摘要: 目的 分析2020年全国临床用血质量控制指标,为临床用血管理工作提供参考。方法 采取回顾性调查方法,收集2020年全国各地区医疗机构的临床用血质量控制指标数据并进行分析。结果 共收集到2 438份临床用血质控数据。其中三级医院1 673(68.62%)家、二级医院594(24.37%)家;二级以下及其他未定级医院171(7.01%)家。各级别医院间每千单位用血输血专业技术人员数、千输血人次输血不良反应上报例数、三四级手术台均用血量、出院患者人均用血量等临床用血质控指标均有显著性差异(P<0.05)。除输血相容性检测项目室内质控率以及手术患者自体输血率外,其他质控指标数据在地区间均有显著性差异(P<0.05)。结论 临床用血质量控制指标在不同等级和不同地区医院间存在一定差异,临床用血管理工作仍有较大改进空间。

关键词: 质量控制, 指标, 临床用血

Abstract: Objective To analyze the quality control indexes of national clinical blood use in 2020 and provide reference for the management of clinical blood use. Methods A retrospective investigation was carried out to collect and analyze the data of blood quality control indexes of medical institutions in 2020. Results We collected 438 clinical blood quality control data, 1 673 (68.62%) of which were from tertiary hospitals, 594 (24.37%) from secondary hospital, and 171 (7.01%) from the hospitals below secondary or other ungraded ones. There were significant differences in clinical blood quality control indexes such as the number of professional and technical personnel for blood transfusion per thousand units, reported cases of adverse transfusion reactions per thousand transfusion times, average blood consumption of third and fourth level operating tables, and average blood consumption of discharged patients among hospitals at all levels (P<0.05). Except for the indoor quality control rate of transfusion compatibility test items and the autotransfusion rate of surgical patients, the other quality control index data had significant differences between regions (P<0.05). Conclusion The quality control indexes of blood for clinical use vary in different grades of hospitals and in different regions, suggesting that there is still room for improvement in the management of blood for clinical use.

Key words: Quality control, Index, Clinical use of blood

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