医院输血科管理中持续质量改进运用效果分析.docVIP

医院输血科管理中持续质量改进运用效果分析 　　[摘要] 目的 ?σ皆菏溲?科管理中持续质量改进的应用效果进行探讨。方法 整群选取该院2015年1―9月的364份输血病历作为对照组，总结输血管理各个环节存在的问题，采用持续质量改进措施，整群收集2016年1―9月的372份输血病历作为观察组，比较两组输血病历记录的缺陷发生率、质量管理评分以及医务人员和患者对输血管理工作的满意度。结果 ①经比较，观察组病案首页、输血医嘱、病程记录、护理记录、输血记录、输血筛查、输血会诊以及合理用血记录缺陷率分别为8.87%、6.18%、9.14%、3.49%、2.96%、1.34%、0.00%和1.08%，均显著低于对照组的17.31%、12.64%、20.88%、12.36%、11.26%、4.67%、13.73%和6.04%，组间差异有统计学意义（P0.05）。②经比较，观察组的管理质量评分为（90.24±5.37）分，高于对照组的（81.34±3.07）分，组间差异有统计学意义（P0.05）。③经比较，观察组的满意度为95.00%，高于对照组的86.00%，组间差异有统计学意义（P0.05）。结论 在医院输血科管理中应用持续质量改进可以降低病历记录的缺陷，提高病历质量的合格率，提升输血科管理工作的规范性，提高医务人员和患者的满意度，适合进行临床推广。 　　[关键词] 输血科管理；持续质量改进；应用效果 　　[中图分类号] R197.3 [文献标识码] A [文章编号] 1674-0742（2017）04（a）-0123-03 　　Analysis of Application Effect of Continuous Quality Improvement in the Management in the Department of Blood Transfusion in the Hospital 　　PENG Qiang 　　Department of Clinical Laboratory， Tongliang District Hospital of Traditional Chinese Medicine， Chongqing， 402560 China 　　[Abstract] Objective To observe the application effect of continuous quality improvement in the management in the department of blood transfusion in the hospital. Methods Group selection 364 transfusion medical records from January 2015 to September 2015 were selected as the control group， and the issues in the blood transfusion management were summarized， and the continuous quality improvement measures were adopted， 372 transfusion medical records from January 2016 to September 2016 were selected as the observation group， and the incidence rate of shortcomings of blood transfusion medical records， quality management score and satisfactory degree of medical staff to the blood transfusion management work were compared between the two groups.] Results The comparison showed that the differences in the medical record home page， blood transfusion doctor’s signs， disease course records， nursing records， blood transfusion records， blood transfusion screening， consultation and shortcoming rate of rational blood use records between the observ