摘要
目的探讨移动输血闭环信息系统在临床输血全流程管理中的应用效果。方法将南京医科大学附属苏州医院信息管理系统(HIS)与输血科信息管理系统(BIS)以及移动护理终端(PDA)进行整合,构建输血闭环管理流程,保障临床用血安全。以2021年5月~2022年4月入住我院行输血治疗的患者1395例为研究对象,其中2021年5月~10月(闭环管理实施前)的632例患者为对照组,2021年11月~2022年4月(闭环管理实施后)的763例患者为观察组。比较闭环管理前后样管血采集双人核对执行率、取血后30 min内输注率、床旁输血双人核对执行率、15 min巡视率、4 h内输注完成率、输血护理文书规范率,评价输血全流程管理改善效果。结果样管血采集双人核对执行率,观察组为99.48%(759/763),对照组为93.99%(594/632);取血后30 min内输注率,观察组为95.02%(725/763),对照组为91.46%(578/632);床旁输血双人核对执行率,观察组为100%(763/763),对照组为95.73%(605/632);15 min巡视率,观察组为94.36%(720/763),对照组为90.35%(571/632);4 h内输注完成率,观察组为95.81%(731/763),对照组为92.25%(583/632);输血护理文书规范率,观察组为98.03%(748/763),对照组为81.80%(517/632),两组比较差异均有统计学意义(P<0.05)。结论移动输血闭环信息系统可实现临床输血全过程管理,有效提高了血制品临床输注规范率、输血文书规范率,保障了临床输血安全。
Objective To explore the effect of mobile transfusion closed-loop information system in the whole process management of clinical blood transfusion.Methods The hospital information system(HIS)of Soochow Hospital affiliated to Nanjing Medical University was integrated with the blood information system(BIS)and personal digital assistant(PDA)to build a closed-loop transfusion management process to ensure the safety of clinical blood use.From May 2021 to April 2022,1395 patients who were admitted to our hospital for blood transfusion therapy were studied.Among them,632 patients from May to October 2021(before the implementation of closed-loop management)were the control group,and 763 patients from November 2021 to April 2022(after the implementation of closed-loop management)were the observation group.Before and after the implementation of closed-loop management,we compared the implementation rate of double-checking before blood sample collection,rate of transfusion within 30 min after blood issuing,implementation rate of double-checking of bedside transfusion,situation of patrol every 15 minutes,rate of transfusion completed within 4 h,rate of nursing documentation standardization,so as to evaluate the improvement effect of the whole process of transfusion management.Results The implementation rate of double-checking before blood sample collection was 99.48%(759/763)in the observation group and 93.99%(594/632)in the control group;the transfusion rate within 30 min after blood issuing was 95.02%(725/763)in the observation group and 91.46%(578/632)in the control group;the implementation rate of double-checking of bedside transfusion was 100%(763/763)in the observation group and 95.73%(605/632)in the control group;the complete rate of patrol every 15-min was 94.36%(720/763)in the observation group and 90.35%(571/632)in the control group;the completion rate of transfusion within 4 h was 95.81%(731/763)in the observation group and 92.25%(583/632)in the control group;the rate of nursing paperwork standardization was 98.03%
作者
郭凡
程念开
王敏
霍仁超
冯丽瑾
GUO Fan;CHENG Niankai;WANG Min;HUO Renchao;FENG Lijin(Suzhou Hospital Affiliated to Nanjing Medical University,ICU,Suzhou 215002,China;Suzhou Hospital Affiliated to Nanjing Medical University Department of Nursing,Suzhou 215002,China;Suzhou Hospital Affiliated to Nanjing Medical University Department of Blood Transfusion,Suzhou 215002,China)
出处
《中国输血杂志》
CAS
2022年第9期995-998,共4页
Chinese Journal of Blood Transfusion
关键词
输血信息系统
闭环管理
临床用血安全
全流程管理
输血护理
blood transfusion information system
closed-loop management
safety of clinical blood use
total process management
blood transfusion nursing
