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目的总结建立输血申请审核制度和输血后检查制度对临床用血量的影响。方法依据《医疗机构临床用血管理办法》、《临床输血技术规范》制订了我院临床输血审核制度,严格掌握输血指征审核和输血申请。依据《国家卫生部三级综合医院评审标准实施细则》输血部分,制定我院临床输血检查制度,由输血科医师对每一份输血病历进行检查,每月汇总上报医务科。结果 2014年上半年与2013年同期相比,在全院出院人数和手术人次增加的基础上,全院的用血人次和用血量都呈下降趋势。通过检查、整改,2014年上半年全院输血病历检查合格率呈上升趋势。结论输血科配合医务科加强对临床用血申请的审核和对输血病历的检查有利于临床输血的规范管理,明显提高输血的合理性、有效性和安全性,同时也降低临床用血量,减少了血源浪费。
Objective To summarize the impact of setting up a blood transfusion application review system and post-transfusion inspection system on clinical blood volume. Methods Based on the Clinical Management of Blood in Medical Institutions and Technical Specifications of Clinical Transfusion, we developed a clinical transfusion audit system in our hospital to strictly control the application of transfusion indications and blood transfusion. Based on the blood transfusion section of the Implementing Rules for Accreditation Criteria of the Third-Level General Hospital of the Ministry of Health, we developed a clinical transfusion examination system in our hospital. Each transfusion medical record was examined by a transfusion doctor and reported to the medical department on a monthly basis. Results In the first half of 2014, compared with the same period of 2013, the number of blood excretion and blood use in the hospital decreased on the basis of the increase in the number of discharged patients and the number of surgical operations in the hospital. Through inspection, rectification, the first half of 2014 hospital blood transfusion records pass rate is on the rise. Conclusion Blood transfusion department and medical department to strengthen the examination of clinical application of blood and medical records of blood transfusion is conducive to the standard management of clinical transfusion, significantly improve the rationality, effectiveness and safety of transfusion, but also reduce the clinical use of blood, reduce A waste of blood