摘要
目的构建临床用血闭环信息化管理系统,提升临床用血合理性与安全性。方法搭建临床用血闭环信息化管理系统,规范医师、护士、输血科、输血实验室工作流程,实现全程智慧化管控。对比分析系统上线初期与成熟稳定期的用血指标,评估系统应用成效。结果系统应用稳定后,用血申请单不合格率从0.25%下降至0.11%,输血不合理比例从3.87%降至0.04%,标本采集差错率从0.07%下降至0.03%,血液报废率从0.09‰降为0.02‰,输血病程记录率从90.23%提升至97.89%,输血后疗效评价完成率从71.37%提升至92.24%,输血护理记录单完成率提升至100%,取血核对差错率、交叉配血失误率均降为0。结论临床用血闭环信息化管理系统有效规范了用血流程,提升了用血管理效能。
Objective To construct a closed-loop information management system for clinical blood utilization and enhance the rationality and safety of clinical blood use.Methods A closed-loop information management system for clinical blood utilization was established to standardize the workflows of doctors,nurses,the blood transfusion department,and the blood transfusion laboratory,enabling intelligent management and control throughout the entire process.Blood utilization indicators were compared and analyzed between the initial implementation phase and the mature,stable phase of the system to evaluate its application effectiveness.Results After the system application has stabilized,the non-conformance rate of blood request forms decreased from 0.25%to 0.11%,the proportion of irrational blood transfusions dropped from 3.87%to 0.04%,the error rate in specimen collection decreased from 0.07%to 0.03%,the blood discard rate decreased from 0.09‰to 0.02‰,the documentation rate of blood transfusion progress notes increased from 90.23%to 97.89%,the completion rate of post-transfusion efficacy evaluations improved from 71.37%to 92.24%,the completion rate of blood transfusion nursing records reached 100%,and both the error rate in blood collection verification and the mismatch rate in crossmatching tests were reduced to 0.Conclusion The closed-loop information management system for clinical blood utilization effectively standardized blood use processes and enhanced the efficiency of blood utilization management.
作者
许海艳
邢艳
张瑞宁
侯梦薇
崔颖
XU Haiyan;XING Yan;ZHANG Ruining(The First Affiliated Hospital of Xi'an Jiaotong University,Xi'an,Shaanxi,710061,China;不详)
出处
《中国卫生质量管理》
2026年第3期15-19,共5页
Chinese Health Quality Management
基金
陕西省自然科学基金项目(编号:2024JC-YBMS-727)。
关键词
临床用血管理
闭环管理
信息系统
智慧化
血液质量
Clinical Blood Utilization Management
Closed-Loop Management
Information System
Intelligentization
Blood Quality
