• 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

临床输血与检验 ›› 2016, Vol. 18 ›› Issue (2): 164-167.DOI: 10.3969/j.issn.1671-2587.2016.02.024

• 质量控制研究 • 上一篇    下一篇

建立质量管理体系 实现输血全过程管理

黄原,朱月武   

  1. 610000 成都,四川大学华西第四医院
  • 收稿日期:2015-10-11 修回日期:2016-09-21 出版日期:2016-04-20 发布日期:2016-09-21
  • 作者简介:黄原（1983-）,女,四川成都人,主管技师,本科,主要从事临床检验工作,（E-mail）378398623@qq.com。

Establish the Quality Management System and Implement the Comprehensive Management of Blood Transfusion Process

Huang Yuan, ZHU Yue-wu   

  1. West China school of Public Health Sichuan University,West China forth Hospital,Chengdu 610041
  • Received:2015-10-11 Revised:2016-09-21 Online:2016-04-20 Published:2016-09-21

PDF

785

被引次数

6

摘要： 目的通过建立完善的输血质量管理体系,实现输血全过程的质量管理。方法参照国内外质量管理体系标准,结合本实验室实践,构建输血质量管理体系,并采取有效措施保障该体系的有效运行和持续性改进。结果2011~2013年悬浮红细胞和血浆使用量以及年用血量同期相比,平均下降率>12%;2013年第三季度与第一季度相比,输血前指征综合评估合理率上升9.5%（χ2=1.74,P=0.04）,输血后效果评价执行率上升12.4%（χ2=1.92,P=0.03）,输血后效果评价有效率上升10.4%（χ2= 1.90,P=0.03）,均呈上升趋势。输血全过程中,无用血不良质量安全事件反生,2011~2013年各类输血不良反应总发生率低于0.5%,过程中的每个关键节点均清晰可控。结论通过建立操作性强、适合自身实际情况的质量管理体系,实现了对输血全过程的质量管理,对提升科学合理用血的质量管理有重要作用。

关键词: 质量管理体系, 全过程管理, 输血

Abstract: ObjectiveTo implement the comprehensive process management by establishing and improving the quality management system of blood transfusion. MethodsAdopt effective measures to guarantee the normal operation and continuous improvement of the system, according to the quality management system standards home and abroad, basing on the practice of our laboratory. ResultsCompared with the same period of time, the usage of suspension red cell, plasma and whole blood in year 2011 to 2013 decreased more than 12% on average. Compared with the first season of 2013, the third season showed a reasonable improvement in pre-blood-transfusion composite assignment (9.5%) and after-blood-transfusion effectiveness assignment (10.4%). During the whole process of blood transfusion, not a case of unqualified blood supplement occurred and all kinds of untoward effects happened at a rate of less than 5% in the year 2011 to 2013. All nodes in the process is under control. ConclusionThe quality management of blood transfusion process can be implemented through establishing the operable quality management system which is suitable for one’s own practical situation,and is of great importance to the quality management of the scientific and rational use of blood.

Key words: Quality, management, system, Management, of, the, comprehensive, process, Blood, transfusion

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