关键词: 输血, 临床用血申请分级管理, 质量监管

Abstract: ObjectiveTo implement the classification management system of application for clinical blood transfusion and evaluate its effects on audit supervision. MethodsProcessing qualification verification on the 5476 pieces of application for clinical blood transfusion which were audited during July, 2013 to June, 2014. Then revising and implementing the classification management system of the application for clinical blood transfusion according to the PDCA circulation principle. The HIS’s automatic authorization to the titles of attending physicians or above was used for prescribing electronic applications of blood transfusion. The institution of comprehensive quality audit and real-time records were established in blood transfusion rooms. There were regular statistical analysis, reporting and announcement of the results of the audit supervision. The comprehensive quality control to the classification management system of the application for clinical blood transfusion was carried out in the hospital. ResultsThe average qualification rate of the application that needs to be examined and be signed by the senior doctors surpassed 96.97%. The average qualification rate of the application submitted to the director increased from 22.97% to 95%(P < 0.01) and by staff of Medical Department from 88% to 95% simultaneously. ConclusionThe implementation of classification management system of application for clinical blood transfusion obviously improved the quality of application, promoting the appropriate clinical use of blood products.

Key words: Transfusion, The, classification, management, system, of, application, for, clinical, blood, transfusion, Quality, supervision