Abstract: Objective Based on the evaluation,the relevant evaluation To find the weak link of clinical blood transfusion,medical record of clinical blood transfusion was evaluated. Method 148 cases of medical records about blood transfusion were chosen from 31 hospitals in which have carried out blood transfusion,the medical records of blood transfusion were evaluated by the criteria such as,orders of blood transfusion,inspection Results before blood transfusion,application of blood transfusion,informed consent of blood transfusion,progress notes of blood transfusion,records of blood transfusion progress,grasp of blood transfusion indications,the rate of component transfusion and the rate of red cell utilization. Result 71% of cases had no history of blood transfusion or pregnancy description; 3% of cases had the errors of blood transfusion type; 29% of cases had no signature on the cross matching blood list; 26% of cases had no doctor signature or date on the informedconsent of blood transfusion; 48% of cases didn't establish clinical blood examination and approval system or had unqualified applications; 97% of cases had defective evaluation content of blood transfusion; 3% of cases had no efficacy evaluation after transfusion or the transfusion evaluation was not specific; 45% of cases had no dual signature of transfusion execution; The patient's vital signs were not recorded at the beginning and the end of the 15 minutes of infusion in 84% of cases; 13% of cases had unreasonable indications of red blood cell transfusion. 61% of cases had unreasonable indications of FFP; the preservation of blood bags didn't meet the requirements after the blood transfusion in 19% of cases. Conclusion The specific evaluation of blood transfusion can help to improve the quality of clinical blood transfusion records,improve the management process of clinical blood transfusion,and ensure the scientific and rational use of clinical blood. At the same time,it can improve the management process of clinical transfusion,to find out the unqualified items of blood transfusion medical record,make continuous improvement,ensure scientific and rational use of blood for clinical use.

Key words: Records of blood transfusion, Evaluation criteria, Blood transfusion management, Blood use in accordance with the law