摘要
目的探讨程序化管理对全麻状态下患者输血安全管理的作用。方法将程序化管理前的906例全麻状态下输血患者分为对照组,实施常规输血管理。将程序化管理后的1 032例全麻状态下输血患者分为观察组,实施程序化管理,即针对全麻状态下患者的特殊性,分解细化输血技术操作内容,逐项编入程序,建立质量控制体系,督促输血程序的执行落实。结果对照组输血缺陷发生率3.53%,观察组为0.78%,血液浪费率对照组为0.99%,观察组为0,两组比较,差异有统计学意义(均P<0.01)。结论全麻状态下患者输血实施程序化管理,可确保输血安全。
Objective To explore the effect of program management method on blood transfusion safety.Methods A total of 906 patients who received blood transfusion therapy under general anesthesia before program management was proceeded were seen as the control group,and another 1032 patients were assigned into the observation group,who received blood transfusion therapy through program management as follows：the blood transfusion procedure was dismantled into pieces and re-arranged to form a new management program,and a quality inspection system was built up to ensure the implementation of the program.Results The incidence rates of blood transfusion flaws in the control group was 3.53％ versus 0.78％ in the observation group,and the rates of a waste of blood in the control group was 0.99％ versus zero in the observation group（P＜0.01 for both）.Conclusion Program management method ensures blood transfusion safety for patients under general anesthesia.
关键词
输血
程序化管理
输血技术
全身麻醉
质量控制
blood transfusion
program management
transfusion procedure
general anesthesia
quality control
