输血质量管理暨输血资质评审辅导在输血质量管理中的应用研究

目的探讨输血质量管理暨输血资质评审辅导工作对临床输血质量管理情况的影响程度。方法按照《柳州市医院输血质量管理暨输血资质评审标准》对医院输血质量管理及输血资质评审辅导前、后各用血医院的硬件配置、管理文件、关键纪录、人力资源以及库房设施等指标进行综合评价。结果输血质量管理暨输血资质评审辅导前后医院硬件配置、配血方法、管理文件、关键记录、人力资源配置及库房配置等21项指标的综合考察表明，不同级别医院分别统计，输血质量管理及资质评审辅导前、后，各项指标满足标准情况差异有统计学意义（均P〈0．01），输血质量管理及资质评审辅导前、后医院综合评价符合情况比较差异有统计学意义。结论输血质量管理及资质评审辅导工作对输血质量管理水平提高有促进作用；卫生管理部门周期性对医院输血资质组织评审并执行行业准入制度对输血质量管理将起到关键的推动作用。

Application of transfusion quality management and review guidance of transfusion qualification in blood transfusion in quality management

Objective To investigate the effect of transfusion quality management and review guidance of transfusion qualifi- cation for quality management of clinical blood transfusion. Methods The hardware configuration, file management, key record, human resources and warehouse facilities of hospital were evaluated by the standard of transfusion quality manage- ment and review guidance of transfusion qualification of hospital in Liuzhou. Results The 21 indicators of hospital hard- ware configuration, matching method, document management, key records, human resource allocation and storage alloca- tion and so on were comprehensive investigate. Different levels of hospital were compiled. The indicators of meeting the standards before and after transfusion quality management and review guidance of transfusion qualification were analyzed by t- test. The difference was statistically significant（ average P 〈 . 1 ）. Differences were significant before and after the comprehensive evaluation of hospital. Conclusion The work of transfusion quality management and review guidance of transfusion qualification has positive effects on blood quality management level. The periodicity evaluation on the hospital transfusion qualification and the industry access system will play a key role in promoting the hospital transfusion qualifica- tion management.