[1]江颖 潘纪春 刘晓敏 乔木 王金慧 张晓娟 迟红旭 张雷英 马春娅.构建多维度血液保障新方案[J].中国卫生质量管理,2019,26(05):104-109.[doi:10.13912/j.cnki.chqm.2019.26.5.30]
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构建多维度血液保障新方案
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《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

卷:
第26卷
期数:
2019年05期
页码:
104-109
栏目:
QC小组平台
出版日期:
2019-09-28

文章信息/Info

作者:
江颖 潘纪春 刘晓敏 乔木 王金慧 张晓娟 迟红旭 张雷英 马春娅
解放军总医院第一医学中心
关键词:
品管圈血源短缺多维度血液保障新方案
Keywords:
Quality Control Circle Blood Shortage Multi-Dimensional Blood Security New Program
DOI:
10.13912/j.cnki.chqm.2019.26.5.30
摘要:
采用课题研究型品管圈活动手法,针对多维度血液保障新方案展开活动。从采血、储血、供血3个维度进行现状调查,明确9大攻坚点,多方拟定对策,从多维度宣传、团队合作、加强用血管理、优化采血模式和环境等方面改进。使科室无偿献血率从44%提高至100%,择期手术患者自体输血评估率提高至90%,限制性输血执行率从39%提高至54%,全面实现了用血信息化管理。多维度血液保障新方案不仅可以在血源短缺条件下保障医疗工作正常运转,而且可以降低患者输血风险,具有一定推广价值。
Abstract:
The project research-type quality control circle activity method was adopted to carry out activities for the new multi-dimensional blood protection program. From the three dimensions of blood collection, blood storage and blood supply, the current situation was investigated, and the nine major points were identified. Various measures were drawn up, and improvements were made from multi-dimensional publicity, teamwork, strengthening blood management, optimizing blood collection mode and environment. The blood donation rate of the department was increased from 44% to 100%. The rate of autologous blood transfusion was increased to 90% in elective surgery, and the rate of restrictive blood transfusion was increased from 39% to 54%. The blood information management was fully realized. The multi-dimensional blood safety new program can not only ensure the normal operation of medical work under the condition of shortage of blood supply, but also reduce the risk of transfusion of patients with promotion value,it has certain promotion value.

参考文献/References:

[1]Brecher ME,Goodnough LT.The rise and fall of preoperative autologous blood donation[J].Transfusion,2001,41(12):1459-62. [2]Tsuno NH,Nagura Y,Kawabata M.The current status ofautologous blood transfusioninJapan:the importance ofpre-depositautologousblooddonation program and the needs to achieve patient blood management[J].Transfus Apher Sci,2013,49(3):673-80. [3]Kelly M P,Zebala L P,Kim H J. Effectiveness of preoperative autologous blood donation for protection against allogeneic blood exposure in adult spinal deformity surgeries: a propensity-matched cohort analysis[J].J Neurosurg Spine,2016,24(1):124-30. [4]Zhou J.A review of the applicationof autologous blood transfusion[J].Braz J Med Biol Res,2016,49(9):5493. [5]周俊,晋晶,武广隆.成分单采技术在预存式自体输血中的应用研究[J].中国输血杂志,2016,29(3):239-242. [6]张小艳,陈赛.运用预入院制度开展贮存式自体输血的实践探讨[J].临床血液学杂志,2017,30(2):131-132. [7]周吉成,谭彬宾,黄俏莹.贮存式自体输血在10 261例择期手术患者中的应用[J].中国输血杂志,2017,30(7):724-726. [8]欧阳锡林,陈冠伊.术前自体储血技术健康自体输血的新模式[J].中国输血杂志,2017,30(12):1321-1323. [9]赖福才,王梁平.试论自体输血在我国的应用与推广策略[J].中国输血杂志,2013,26(8):687-689. [10]Carson JL,Guyatt G,Heddle NM,et al.Clinical Practice Guidelines From the AABB: Red Blood Cell Transfusion Thresholds and Storage[J].JAMA,2016,316(19):2025-2035. [11]Salpeter SR,Buckley JS,Chatterjee S.Impact of more restrictive blood transfusion strategies on clinical outcomes: a meta-analysis and systematic review[J].Am J Med,2014,127(2):124-131. [12]Patel NN,Murphy GJ.EvidenceBased Red Blood Cell Transfusion Practices in Cardiac Surgery[J].Transfus Med Rev,2017,31(4):230-235. [13]Murphy MF,Estcourt L,Goodnough LT.Blood transfusion strategiesinelderly patients[J].Lancet Haematol,2017,4(10):453-454. [14]钱永军,李涛,刘芳.限制性输血策略指导输血对单病种二尖瓣置换术结果的影响[J].四川大学学报:医学版,2018,49(3):478-480. [15]蒋远萍,施婷,李文桃.自由输血与限制性输血策略对围术期与危重症患者病死率的Meta分析[J].重庆医学,2018,47(1):71-75. [16]蔡思逸,沈建雄,翁习生,等. 综合、全程血液管理措施对骨科手术患者异体输血的影响[J].协和医学杂志,2015,6(4):286-290.

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更新日期/Last Update: 2019-09-28