关键词: 规范管理, 病历考评, 临床用血

Abstract: Objective To improve standardized clinical blood use management by three level of united control and stratified advancement through medical administrative sectors,center of city blood quality and control and various medical institutes. Methods Clinical blood use was intensively monitored and transfusion records were self-checked by department of medical service and transfusion from January 2013 to December 2014. Criteria of medical record evaluation were implemented by organization of blood quality management and control and 2865 medical records were checked and reported monthly using the criteria. The construction of transfusion department and clinical blood use management from hospitals were inspected twice annually by the municipal commission of health and family planning. Results The quality of medical records has been improved and the pass rate for medical records increased from 47.33% in January 2013 to 92.94% in December 2014. The amount of red cell and blood plasma used has dropped by 6.2% and 35.9% respectively,while the amount of platelet and cryocepitate coagulation factors use increased by 12.1% and 15.7% respectively,within a reasonable range. The clinical blood use has become reasonable. Conclusions Through clinical blood use management by three levels,the ability of standardized clinical blood use by medical staff has been improved. Transfusion procedure and clinical blood has been utilized scientifically. Therefore the safety of clinical transfusion was ensured and clinical disputes related to transfusion have been reduced.

Key words: Standardized management, Medical record evaluation, Clinical blood use