区域医疗中心临床用血管理模式的研究

摘要

Objective To explore the management mode of regional clinical blood ,as well as the role of Regional Medical Center in the blood management ,and have a comprehensive understanding of Daxing district clinical blood using present situation .Methods Organized Daxing district clinical blood using quality control center experts to do a research of 18 medical institutions in the blood management status of clinical blood demand within the jurisdiction ,and analyzed the statistics related to clinical use of blood in vari‐ous medical institutions from January to December in 2014 ,according to Beijing Wei Yi [2008]189 words "in medical institutions of Beijing City ,the department of transfusion(blood bank) in the relevant provisions of the basic standard".Results Through the sur‐vey ,only regional medical center established the department of transfusion in 18 medical institutions ,other medical institutions have set up blood bank .Practitioners of department of transfusion (blood bank) in the number full‐time staff ,with post qualification num‐ber and degree of structure ,difference between regional medical center and other kind hospitals was significant (P<0 .01) ,but no statistical differences in the structure of professional title (P>0 .05) .Three grade hospitals in biological safety and continuous im‐provement of quality ,could be carried out in accordance with the PDCA cycle ,and have obvious advantages compared with the other one or two grade hospitals .Conclusion Fifteen medical institutions do not have the clinical blood transfusion compatibility testing conditions .To ensure the safety of blood for clinical use ,blood need to be tested by the department of transfusion regional medical center .%目的：全面了解北京市大兴区临床用血现状，探讨区域临床用血的管理模式，以及区域医疗中心在血液管理方面的作用。方法组织大兴区临床用血质控中心专家，按照京卫医字[2008]189号《北京市医疗机构输血科（血库）基本标准》中相关规定，对辖区内有临床用血需求的18家医疗机构血液管理现状进行调研，并对2014年1～12月各医疗机构临床用血相关数据进行统计分析。结果通过调查显示，18家医疗机构中仅区域医疗中心设立输血科，其他医疗机构均设立血库；输血科（血库）从业人员，在专职人员数量、具有岗位资格人数及学历结构方面，区域医疗中心与其他类别医院差异有统计学意义（P＜0．01），而在职称结构方面三者比较差异无统计学意义（P＞0．05）；三级医院在生物安全及持续质量改进方面，能够按照PDCA循环进行，与其他一、二级医院相比优势明显。结论15家医疗机构血库不具备临床输血相容性检测条件，为了保证临床用血安全，需由区域医疗中心输血科集中检测。