Objective To investigate and analyze the clinical blood transfusion management of medical in-stitutions in Beijing, to promote scientific and reasonable blood transfusion, and to ensure the safety of blood trans-fusion. Methods With checklist designed according to regulations and administrative documents of"The Medical Institutions Clinical Blood Management Approach", the situation of blood transfusion management was investigated in 81 medical institutions by scene view, staff inquiries, literature review. The content included four aspects: blood qualification and organization management, clinical blood transfusion management, blood management, medical re-cords of blood transfusion. Results There are no statistically significant difference in clinical blood transfusion man-agement and blood management among tertiary hospitals, secondary hospitals, special hospitals, private hospitals (P>0.05). In private hospitals, the blood access qualifications were better than those in other hospitals, but the writing of the medical record of blood transfusion was less standardized (P<0.05). The Department of Blood Transfusion or blood bank layout in some maternal and child hospital needed reasonable planning. The blood transfusion equipment configuration, personnel training, service capacity in medical institutions had a relatively high compliance rate, but 65.4%medical in-stitutions did not carry out the relevant blood collection and blood protection technology. For medical records, the pre-ex-amination items, blood transfusion consent, doctor's advice on blood transfusion had high compliance rate, but the course of blood transfusion, the evaluation after blood transfusion, and autologous blood transfusion were still in need of improvement. Conclusion The overall level of blood transfusion management in Beijing is increasing, and the estab-lishment of the access system of blood transfusion has significantly improved the treatment capacity of blood transfu-sion. Medical institutions should further improve the quality of blood transfusion management and control the whole pro-cess of blood transfusion to ensure the quality and safety of blood transfusion.%目的 调查分析北京地区医疗机构临床输血管理状况,推广科学合理输血,保障输血的疗效和安全.方法 按照《医疗机构临床用血管理办法》相关法律法规和行政文件设计检查表,采取现场查看、工作人员问询、材料查阅等方式调查了81家医疗机构输血管理状况.内容包括用血资质和组织管理、临床输血管理、血液管理、输血病历四个方面.结果 在被调查的三级医院、二级医院、专科医院和私立医院输血管理中,不同级别医疗机构在临床输血管理、血液管理方面比较差异均无统计学意义(P>0.05),私立医院在用血资质准入方面好于其他医院,但在输血病历书写规范化方面与其他医院有一定差距(P<0.05),部分妇幼专科医院输血科或血库面积布局需要合理规划.医疗机构在输血设备配置、人员培训、服务能力等项目符合率较高,但有65.4%的医疗机构未开展相关血液回收、血液保护技术.输血病历中的输血前检查项目、输血同意书、输血医嘱等方面符合率较高.输血治疗病程记录、输血后评估、自体输血方面还需要进一步改进.结论 北京地区输血管理整体水平不断提高,输血准入制度的建立明显提高了输血治疗能力.医疗机构应进一步完善改进输血质量管理体系,对输血前、输血中、输血后全过程进行质量控制,保障输血质量和安全.
展开▼
