摘要
目的探讨PDCA循环管理在血液科输血管理中的应用效果。方法在血液科建立输血质量管理专项小组,遵循PDCA循环管理的计划(调研现状、分析原因)、实施(输血前、中、后的安全管理,输血不良反应观察及处理)、检查(输血过程是否记录、输血单上签名是否清晰、输血病历书写是否规范等)、处理(根据检查人员提出的问题,进行分析,制定改进措施并实施)的步骤加强输血安全管理。结果 PDCA管理后,输血不规范率由管理前的2.62%降低至0.12%(P<0.01)。结论采用PDCA循环进行临床输血质量管理,有利于规范输血流程,杜绝输血缺陷的发生,保证患者用血安全。
Objective To explore the application of PDCA cycle in management of blood transfusion in the department of hematology.Methods A quality management group of blood transfusion was set up to strengthen the safety of blood transfusion according to PDCA cycle,including planning （survey and reasons analysis）,implementing （safety management before,during and after transfusion,as well as the observation and countermeasures to adverse reactions）,checking （whether there were blood transfusion records,signatures on the transfusion application form were clear and the writing of blood transfusion medical records was standard） and problems-solving （to make up and implement improvement measures based on problems put forwards by inspectors）.Results After the application of PDCA cycle,the rate of substandard transfusion practice lowered significantly from 2.62％ to 0.12％ （P＜ 0.01）.Conclusion Management of clinical blood transfusion quality through the PDCA cycle helps to standardize the blood transfusion process,eliminate defects in blood transfusion and ensure the safe use of blood.
关键词
血液科
输血
PDCA循环管理
护理安全
质量控制
department of hematology
blood transfusion
PDCA cycle
nursing safety
quality control
