PDF下载

[1]许海艳邢艳张瑞宁侯梦薇崔颖.临床用血闭环信息化管理系统构建[J].中国卫生质量管理,2026,33(3):15-19.[doi:10.13912/j.cnki.chqm.2026.33.3.04]
　XU Haiyan,XING Yan,ZHANG Ruining.Research on the Construction of a Closed-Loop Information Management System for Clinical Blood Utilization[J].Chinese Health Quality Management,2026,33(3):15-19.[doi:10.13912/j.cnki.chqm.2026.33.3.04]

点击复制

临床用血闭环信息化管理系统构建

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 33 期数: 2026年3期页码: 15-19 栏目: 特别关注出版日期: 2026-03-15

Title:: Research on the Construction of a Closed-Loop Information Management System for Clinical Blood Utilization

作者:: 许海艳邢艳张瑞宁侯梦薇崔颖; 西安交通大学第一附属医院

Author(s):: XU Haiyan; XING Yan; ZHANG Ruining; The First Affiliated Hospital of Xi’an Jiaotong University

关键词:: 临床用血管理; 闭环管理; 信息系统; 智慧化; 血液质量

Keywords:: Clinical Blood Utilization Management; Closed-Loop Management; Information System; Intelligentization; Blood Quality

分类号:: R197.323；R331.1

DOI:: 10.13912/j.cnki.chqm.2026.33.3.04

文献标志码:: B

摘要:: 目的构建临床用血闭环信息化管理系统，提升临床用血合理性与安全性。方法搭建临床用血闭环信息化管理系统，规范医师、护士、输血科、输血实验室工作流程，实现全程智慧化管控。对比分析系统上线初期与成熟稳定期的用血指标，评估系统应用成效。结果系统应用稳定后，用血申请单不合格率从0.25%下降至0.11%，输血不合理比例从3.87%降至0.04%，标本采集差错率从0.07%下降至0.03%，血液报废率从0.09‰降为0.02‰，输血病程记录率从90.23%提升至97.89%，输血后疗效评价完成率从71.37%提升至92.24%，输血护理记录单完成率提升至100%，取血核对差错率、交叉配血失误率均降为0。结论临床用血闭环信息化管理系统有效规范了用血流程，提升了用血管理效能。

Abstract:: ObjectiveTo construct a closed-loop information management system for clinical blood utilization and enhance the rationality and safety of clinical blood use.MethodsA closed-loop information management system for clinical blood utilization was established to standardize the workflows of doctors, nurses, the blood transfusion department, and the blood transfusion laboratory, enabling intelligent management and control throughout the entire process. Blood utilization indicators were compared and analyzed between the initial implementation phase and the mature, stable phase of the system to evaluate its application effectiveness.ResultsAfter the system application has stabilized, the non-conformance rate of blood request forms decreased from 0.25% to 0.11%, the proportion of irrational blood transfusions dropped from 3.87% to 0.04%, the error rate in specimen collection decreased from 0.07% to 0.03%, the blood discard rate decreased from 0.09‰ to 0.02‰, the documentation rate of blood transfusion progress notes increased from 90.23% to 97.89%, the completion rate of post-transfusion efficacy evaluations improved from 71.37% to 92.24%, the completion rate of blood transfusion nursing records reached 100%, and both the error rate in blood collection verification and the mismatch rate in crossmatching tests were reduced to 0.Conclusion The closed-loop information management system for clinical blood utilization effectively standardized blood use processes and enhanced the efficiency of blood utilization management.

参考文献/References:

［1］HAN ZZ，WANG M，YU SH.Effects of stored autotransfusion on electrolytes and postoperative complications in patients undergoing elective orthopedic surgery［J］.Am J Transl Res，2021，13（6）：7200-7206.［2］STREIT-CIEKIEWICZ D，KODYISKA A，FUTYMA-GBKA K，et al.Platelet rich plasma in gynecology-discovering undiscovered-review［J］.Int J Environ Res Public Health，2022，19（9）：5284.［3］YAN J，LIU Q，DAI G，et al.Efficacy of multiple autologous apheresis platelet-rich plasma injections for treating knee osteoarthritis and its influencing factors：a retrospective cohort study［J］.J Orthop Surg Res，2025，20（1）：339.［4］王田田，周泽华，王建霞，等.基于无线射频识别技术的医院血液库存智慧化管理模式探索［J］.中国卫生质量管理，2023，30（4）：4-6，10.［5］SHI Y，YE CJ，WANG HS，et al.The impact of a closed-loop electronic blood transfusion system on transfusion errors and staff time in a children’s hospital［J］.Transfus Clin Biol，2022，29（3）：250-252.［6］洪建，杜明超，周典，等.闭环合理输血管理系统建设的实践与探索［J］.中国数字医学，2017，12（8）：82-84.［7］侯梦薇，兰欣，王宝燕，等.多闭环管理模式在保证临床用血安全中的探索与实践［J］.中国数字医学，2022，17（4）：66-69.

相似文献/References:

[1]陈妍妍,叶庆,殷杰,等.基于ICD-9-CM-3的手术资质闭环管理平台设计与应用[J].中国卫生质量管理,2015,22(06):4.
[2]唐新,贾克刚,李秀良,等.1例血小板输错事件的根本原因分析[J].中国卫生质量管理,2016,23(02):13.[doi:10.13912/j.cnki.chqm.2016.23.2.05]
[3]张丽敏,于艳艳,刘亚平.用药闭环管理与医疗安全[J].中国卫生质量管理,2016,23(03):7.[doi:10.13912/j.cnki.chqm.2016.23.3.03]
[4]刘洪董军于艳艳张丽敏.介入手术患者安全交接的闭环管理[J].中国卫生质量管理,2017,24(03):1.[doi:10.13912/j.cnki.chqm.2017.24.3.01]
[5]夏成凤吴允琦董军.危急值闭环管理的实践研究[J].中国卫生质量管理,2017,24(03):4.[doi:10.13912/j.cnki.chqm.2017.24.3.02]
[6]侯杰王欣董军.静脉用药安全调配闭环管理的设计与实现[J].中国卫生质量管理,2017,24(03):7.[doi:10.13912/j.cnki.chqm.2017.24.3.03]
[7]唐新贾克刚李秀良董军.临床用血信息闭环管理的设计与应用[J].中国卫生质量管理,2017,24(03):10.[doi:10.13912/j.cnki.chqm.2017.24.3.04]
[8]白绍蓓董军施惠斌.肠内营养信息化闭环管理的设计与应用[J].中国卫生质量管理,2017,24(03):13.[doi:10.13912/j.cnki.chqm.2017.24.3.05]
[9]王璐瑶董军刘非赵云呈.消毒供应中心无菌物品信息化闭环管理探讨[J].中国卫生质量管理,2017,24(03):16.[doi:10.13912/j.cnki.chqm.2017.24.3.06]
[10]曹晓均方志华.移动智能医疗系统建设提升门诊服务质量[J].中国卫生质量管理,2017,24(06):11.[doi:10.13912/j.cnki.chqm.2017.24.6.04]

更新日期/Last Update: 2026-03-15