PDF下载

[1]马爱军贾桂丛刘建辉蒋文尧张少华.医疗机构临床用血质量评价指标体系构建研究[J].中国卫生质量管理,2025,32(11):95-99.[doi:10.13912/j.cnki.chqm.2025.32.11.19]
　MA Aijun,JIA Guicong,LIU Jianhui.Research on the Construction of an Evaluation Index System for the Quality of Clinical Blood Utilization in Medical Institutions[J].Chinese Health Quality Management,2025,32(11):95-99.[doi:10.13912/j.cnki.chqm.2025.32.11.19]

点击复制

医疗机构临床用血质量评价指标体系构建研究

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 32 期数: 2025年11期页码: 95-99 栏目: 血液质量出版日期: 2025-11-15

Title:: Research on the Construction of an Evaluation Index System for the Quality of Clinical Blood Utilization in Medical Institutions

作者:: 马爱军贾桂丛刘建辉蒋文尧张少华; 河北省血液中心

Author(s):: MA Aijun; JIA Guicong; LIU Jianhui; Hebei Blood Center

关键词:: 医疗机构; 临床用血质量评价; 评价体系; 输血服务能力; 合理用血

Keywords:: Medical Institutions; Clinical Blood Utilization Quality Evaluation; Evaluation System; Transfusion Service Capability; Rational Blood Utilization

分类号:: R197.3；R331.1

DOI:: 10.13912/j.cnki.chqm.2025.32.11.19

文献标志码:: A

摘要:: 目的基于三维质量结构框架构建医疗机构临床用血质量评价指标体系，以持续改进医疗用血质量。方法按照“结构-过程-结果”三维质量结构，通过文献回顾，结合实地调研，构建医疗机构临床用血质量评价指标体系框架，采用德尔菲法和界值法确定评价指标，通过层次分析法计算指标权重。结果构建了医疗机构临床用血质量评价指标体系，包含一级指标3个二级指标5个三级指标54个，内容涵盖职责与机制、输血诊疗能力、输血科服务能力、用血质量持续改进目标、用血年龄变化趋势等。结论本研究构建的医疗机构临床用血质量评价指标体系具有一定的科学性及实用性，适用于医疗机构开展临床用血评价。

Abstract:: ObjectiveTo establish an evaluation index system for the quality of clinical blood utilization in medical institutions based on the three-dimensional quality structure framework, aiming to continuously improve the quality of medical blood utilization.MethodsFollowing the "structure-process-outcome" three-dimensional quality structure, an evaluation index system framework for the quality of clinical blood utilization in medical institutions was constructed through literature review combined with field research. The Delphi method and threshold value method were employed to determine the evaluation indices, and the analytic hierarchy process was used to calculate weights to the indices.ResultsAn evaluation index system for the quality of clinical blood utilization in medical institutions was established, comprising 3 primary indicators, 5 secondary indicators, and 54 tertiary indicators. The content covers aspects such as responsibilities and mechanisms, transfusion diagnosis and treatment capabilities, service capabilities of the blood transfusion department, continuous improvement goals for blood utilization quality, and trends in age-related changes in blood utilization.Conclusion The evaluation index system for the quality of clinical blood utilization in medical institutions constructed in this study demonstrates a certain degree of scientific validity and practical applicability, making it suitable for medical institutions to conduct evaluations of clinical blood utilization.

参考文献/References:

［1］钟千梅.基于“三维质量结构理论”构建三级综合医院发热门诊护理质量管理评价体系［D］.南充：川北医学院，2024.［2］冯旅帆，徐嘉婕，唐密，等.医保患视角下DRG实施效果评价指标体系构建研究［J］.中国医院管理，2025，45（3）：72-77.［3］廖子锐，李晓鹤，冯家琪，等.基于德尔菲法的公立综合医院感染性疾病科综合能力建设评价体系构建研究［J］.中国卫生质量管理，2023，30（5）：34-44.［4］李康，贺佳.医学统计学［M］.7版.北京：人民卫生出版社，2018：98-99.［5］孟庆跃.实施健康优先发展战略背景下卫生健康投入机制分析［J］.中国卫生经济，2025，44（8）：1-6.［6］杨吉羚，李中兴，刘园园，等.公立医院医务人员思政工作评价指标体系构建及实证研究［J］.中国卫生质量管理，2024，31（12）：97-103.

相似文献/References:

[1]袁玉荣,潘修银.2014年宜昌市医疗机构输血情况调查与分析[J].中国卫生质量管理,2015,22(06):104.
[2]杨玉丽魏海英王涛袁萍马丽.日本医疗机构评审概述及启示[J].中国卫生质量管理,2018,25(05):131.[doi:10.13912/j.cnki.chqm.2018.25.5.38]
[3]龚芳孙湛.加强医疗技术临床应用事中事后监管的探析[J].中国卫生质量管理,2019,26(01):25.[doi:10.13912/j.cnki.chqm.2019.26.1.09]
[4]归纯漪孙梅.上海市某三甲专科医院医疗风险相关事件调查分析[J].中国卫生质量管理,2019,26(02):53.[doi:10.13912/j.cnki.chqm.2019.26.2.17]
[5]齐玉梅马旭东刘先夺马方秦环龙马向华胡雯李增宁.全国医疗机构临床营养医疗服务与质量安全调研[J].中国卫生质量管理,2021,28(11):34.[doi:10.13912/j.cnki.chqm.2021.28.11.08 ]
　QI Yumei,MA Xudong,LIU Xianduo.Investigation and Analysis of Clinical Nutrition Medical Service and Quality Safety in Medical Institutions in China[J].Chinese Health Quality Management,2021,28(11):34.[doi:10.13912/j.cnki.chqm.2021.28.11.08 ]
[6]陈练石慧峰魏瑗王晓霞赵扬玉乔杰.2019年度全国产科专业医疗服务与质量安全报告分析[J].中国卫生质量管理,2022,29(05):1.[doi:10.13912/j.cnki.chqm.2022.29.5.01 ]
　CHEN Lian,SHI Huifeng,WEI Yuan.Analysis of the Report on Medical Service and Quality Safety of Obstetrics in China in 2019[J].Chinese Health Quality Management,2022,29(11):1.[doi:10.13912/j.cnki.chqm.2022.29.5.01 ]
[7]王巍马丽平李莹郭云剑.苏、沪、粤三省市医疗服务标准实施现状调查[J].中国卫生质量管理,2022,29(05):53.[doi:10.13912/j.cnki.chqm.2022.29.5.14 ]
　WANG Wei,MA Liping,LI Ying.Investigation of the Implementation Status of Medical Service Standards in Jiangsu, Shanghai and Guangdong Provinces[J].Chinese Health Quality Management,2022,29(11):53.[doi:10.13912/j.cnki.chqm.2022.29.5.14 ]
[8]舒婷徐帆李红霞张蕾.我国医联体内医疗机构信息化建设现状调研[J].中国卫生质量管理,2022,29(12):1.[doi:10.13912/j.cnki.chqm.2022.29.12.01 ]
　SHU Ting,XU Fan,LI Hongxia.A Cross-Sectional Investigation on Informatization Construction of Medical Institutions in the Medical Alliance in China[J].Chinese Health Quality Management,2022,29(11):1.[doi:10.13912/j.cnki.chqm.2022.29.12.01 ]
[9]王平.《医疗机构门诊质量管理暂行规定》意义解读[J].中国卫生质量管理,2023,30(02):20.[doi:10.13912/j.cnki.chqm.2023.30.2.06 ]
　WANG Ping.Interpretation of "Interim Provisions on Quality Management of Outpatient Service in Medical Institutions"[J].Chinese Health Quality Management,2023,30(11):20.[doi:10.13912/j.cnki.chqm.2023.30.2.06 ]
[10]崔有文董静怡姚京京冯熙龙.医疗机构重点人群核酸检测监管平台构建与应用[J].中国卫生质量管理,2023,30(03):68.[doi:10.13912/j.cnki.chqm.2023.30.3.14 ]
　CUI Youwen,DONG Jingyi,YAO Jingjing.Construction and Application of Nucleic Acid Detection Monitoring Platform for Key Population in Medical Institutions[J].Chinese Health Quality Management,2023,30(11):68.[doi:10.13912/j.cnki.chqm.2023.30.3.14 ]

更新日期/Last Update: 2025-11-15