|
|
|
| Impact of whole-process closed-loop intelligent pathway real-time control on clinical transfusion safety |
| CHEN Hongxia1 NI Wei2,3 WU Changlin4 |
1.Department of Blood Transfusion, Xianning Central Hospital, the First Affiliated Hospital of Hubei University of Science and Technology, Hubei Province, Xianning 437100, China;
2.Department of Laboratory, Hubei Provincial Hospital of Traditional Chinese Medicine, Hubei Province, Wuhan 430061, China;
3.Department of Laboratory, Hubei Province Academy of Traditional Chinese Medicine, Hubei Province, Wuhan 430074, China;
4.Department of Blood Transfusion, the Second People′s Hospital of Shenzhen, Guangdong Province, Shenzhen 518035, China |
|
|
|
Abstract Objective To explore the impact of whole-process closed-loop intelligent pathway real-time control on clinical transfusion safety. Methods A total of 3548 patients with blood transfusion in Xianning Central Hospital, the First Affiliated Hospital of Hubei University of Science and Technology from June 2016 to June 2018 were selected, and the patients were divided into 2016 group (1545 cases) and 2018 group (2003 cases) according to chronological order. The 2016 group adopted the conventional blood transfusion safety management method, and the 2018 group adopted the full closed-loop intelligent routing real-time control. The effects of real-time control of intelligent routing of blood specimens, the status of blood transfusion, the average operating time and quality of blood preparation and transfusion, and the effect of blood transfusion safety control of two groups were compared. Results The pre-transfusion detection rate, post-transfusion efficacy evaluation detection rate, and cross-matching test blood specimen time compliance rate in the 2018 group were significantly higher than those in the 2016 group (P < 0.05). The infusion rate within 30 minutes and infusion completion rate within 4 hours after blood retrieval in the 2018 group were significantly higher than those in the 2016 group (P < 0.05). The operation time of blood preparation and blood transfusion in the 2018 group were longer than those in the 2016 group, while the quality were higher than those in the 2016 group (P < 0.05). The number of blood sample errors or unqualified cases, the initial blood group test or the number of single blood group application errors in the 2018 group were significantly lower than those of the 2016 group, and the differences were all statistically significant (all P ＜ 0.05). Conclusion The whole-process closed-loop intelligent pathway real-time control on clinical blood transfusion can effectively control the safety and quality of blood transfusion, while avoid the occurrence of adverse events of clinical blood transfusion, and significantly improve the level of scientific safe blood transfusion.
|
|
|
|
|
|
[1] 刘晓丽.北京地区部分医疗机构临床输血管理状况调查分析[J].海南医学，2016，27（8）：1345-1348.
[2] 袁慧铭.智能化信息管理系统在输血科的应用及探讨[J].实验与检验医学，2017，35（4）：618-621.
[3] 杨丽云.全程闭环智能信息化临床用血全面质量管理体系的构建[J].中国输血杂志，2017，30（2）：124-128.
[4] 周建华，蔡亦泠.通过实验室信息管理系统实现实验室的全面质量管理[J].上海医药，2018，39（7）：62-64.
[5] 胡飘萍.临床输血评估评价全程闭环智能路径构建及其应用[J].中国输血杂志，2017，30（1）：5-8.
[6] 乐爱平.临床用血不良事件智能路径化实时控制与输血安全预警[J].中国输血杂志，2017，30（2）：116-119.
[7] 刘威.临床用血管理与评价信息系统全程闭环智能路径构建[J].中国输血杂志，2017，30（1）：1-4.
[8] 杨丽云.输血不良反应智能路径构建与临床应用研究[J].中国输血杂志，2017，30（2）：120-124.
[9] 黄雯.血液标本全程闭环智能路径质量和安全实时控制[J]．中国输血杂志，2017，30（1）：9-11.
[10] 乐爱平.医疗机构临床用血计划质量管理权重要素探析及应用研究[J]．中国输血杂志，2015，28（8）：949-952.
[11] 苏金初.血型实验室的输血检验的质量控制与输血安全[J].当代医学，2016，22（2）：56-57.
[12] 何志川.PDA条形码扫描核对技术在儿科血液标本采集的应用[J].医学理论与实践，2017，30（22）：3444-3446.
[13] 余晓.输血核对表在重症监护病房安全管理中应用的效果评价[J].中国实用护理杂志，2015，31（26）：2006-2008.
[14] 肖昆.临床输血全程闭环智能路径质量和安全实时控制[J].中国输血杂志，2017，30（2）：109-112.
[15] 符小玉.临床路径管理在伤口治疗师规范化中的效果[J].中国医药导报，2019，16（3）：163-166.
[16] 杨宝义.基于问题管理模式的ICU输血安全管理效果探讨[J].中国医药导报，2018，15（23）：156-159.
[17] 汪蓉，杨宝义，李龙倜，等.失效模式与效应分析在ICU输血安全管理中的应用效果[J].中国医药导报，2019， 16（26）：186-188，封3.
[18] 孙亚纯.临床输血智能化路径管理下的用血趋势分析[J].中国输血杂志，2018，31（5）：454-456.
[19] 陈立升，陈椿慧.临床输血管理系统对输血科输血质量及安全性的影响[J].中外医学研究，2019，17（4）：179-180. |
|
|
|
