输血易发生差错事故的几个重要的人为因素的探讨.docVIP

精品论文 参考文献 输血易发生差错事故的几个重要的人为因素的探讨 邢英新刘冬梅沈淑波马海玲余敏红姜华颖 （大庆市人民医院163000） 【摘要】目的：杜绝人为因素在输血安全中的隐患。方法：严格执行操作规程，对临床输血环节程序的监控，杜绝输血工作中的失误，减少差错的发生，保障输血安全。结果：人为因素引起的伤害，如违反国家规定的操作规程、质量标准等应追究相应的法律责任。 [1] 【关键词】人为因素；输血安全 【中图分类号】R2 【文献标号】A 【文章编号】1671-8725（2014）12-0162-02 Human factors analysis of several blood transfusioneasy mistakes and accidents of the importantXing Yingxin,Liu Dongmei,Shen Shubo,Ma Hailing,Yu Minhong,Jiang Huaying（Daqing Peoples Hospital 163000）abstract:objective to eliminate human factors in the blood transfusion safety hidden trouble. methods Strictly carry out operation procedures, monitoringof clinical blood transfusion link program, put an end to blood transfusion errors in the work, reduce the happening of the error, to ensure the safety ofblood transfusion. Human factors caused damage as a result, such as in violation of the provisions of the state of operation procedures, quality standards,etc. Shall be investigated for the corresponding legal responsibility. (1)key words: human factors of blood transfusion safety Because blood composition of infusion is through many departments and personnel to complete atask, so you must be careful, must be right (including cognition, technology, and responsibility) to achieve effective treatment, it will increase the patientspain, and even life-threatening, cause serious consequence. Due to blood transfusion program contains many subjects and professional knowledge, so thesteps are often quite complex and various, all of these steps may imply man-made error, will discuss several important steps: 1 输血的知情权 医生是第一个环节，有没有输血的必要：严防安慰血，人情血，一切不合理的用血。这些不必要的输血，会带来不必要的风险，医生一定要慎重，严格把关。一旦决定有输血的必要，向患者或患者家属说明输血非常重要。在我国的法律规定中，患者必须要对治疗过程非常明确，医生必须要向患者告知关于输血的具体情况，尤其是在输血过程可能会发生的风险和意外、不需要输血的其他治疗方法以及患者拥有可以选择接受或者拒绝输血的权利。患者对于输血知情权的3个基本原则：1.输血必须是患者自愿的；2.患者必须要明确输血的原因以及在输血过程中可能发生的副作用和意外情况，尽量避免大量输血；3.超过国家规定年龄的人都具有知情权，如果患者属于精神不正常或者未成年儿童，则必须由其法定监护人代表行使患者知情权。而西方的法律规定：患者无论是否知道自身疾病的预后，都拥有