学术论文

      临床用血全程管理模式的建立和应用

      Full-range control model of clinical blood use - Establishment and operation

      摘要:
      将输血医嘱号作为匹配号,贯穿临床用血全程.搭建一个从输血医嘱申请到执行的循环,通过两部门血型重复鉴定、双数据库管理血型档案、条码技术应用等确保信息的准确性,将正确的血液给正确的病人,杜绝输血事故.设立血制品使用指征,并实时监控,将有限的血制品给需要的病人,减少血制品滥用.通过全程和实时的临床用血管理,控制输血指征和百分百的匹配率,以改善病人的安全.
      Abstract:
      The medical order number of a blood transfusion is used as the matching number in the full range of clinical blood use. A cycle is built ranging from the application for to the implementation of a medical order for blood transfusion. Such measures as repeated blood types verification by two departments, dual-database management of blood type files, and bar coding are called into play to ensure information correctness. These measures can make sure that the correct blood type is transfused to the correct patient and rule out accidents in blood transfusion. Indications for blood products are set up under real-time surveillance, which makes available limited blood products supply to those in need and minimizes waste and abuse of such products. The full-range and real-time management of clinical blood use will confine blood transfusion indications and ensure patients' safety with 100% match ratio.
      作者: 刘志伟 郑三伟
      Author: LIU Zhi-wei ZHENG San-wei
      作者单位: 浙江大学医学院附属邵逸夫医院,杭州,310016
      刊 名: 中华医院管理杂志 ISTICPKU
      年,卷(期): 2010, 26(7)
      分类号: R1
      机标分类号: R45 R4
      在线出版日期: 2010年9月10日