输血病历实时检测系统开发与应用
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摘要
以相关法规制度为依据,制定医院临床输血工作管理规定,明确输血指征、输血前检查项目及医疗文书3类检测内容与各自判定标准,结合临床用血及病历书写特点和要求研发输血病历实时检测系统,对医生临床用血行为进行实时检测,强化了医生合理用血理念,使输血病历书写更加规范,管理时效性显著增强。但系统并不能降低输血治疗本身的风险,医院应对系统收集信息进行客观分析,并更加重视人的因素。
Based on relevant laws and regulations,hospital blood transfusion work management regulations were formulated,the three examinations categories of blood transfusion indications,pre-transfusion examination items and medical records,and their respective criteria were clarified.Combined with clinical blood use and medical record writing characteristics and requirements,the blood transfusion medical record real-time detection system was developed to detect the doctor's clinical blood behavior in real time,so that the doctor can strengthen the rational use of blood concept,standardize the blood transfusion medical records,and significantly improve the management timeliness.However,the system could not reduce the risk of transfusion therapy itself.The hospital should objectively analyze the information collected by the system and pay more attention to human factors.
Based on relevant laws and regulations,hospital blood transfusion work management regulations were formulated,the three examinations categories of blood transfusion indications,pre-transfusion examination items and medical records,and their respective criteria were clarified.Combined with clinical blood use and medical record writing characteristics and requirements,the blood transfusion medical record real-time detection system was developed to detect the doctor's clinical blood behavior in real time,so that the doctor can strengthen the rational use of blood concept,standardize the blood transfusion medical records,and significantly improve the management timeliness.However,the system could not reduce the risk of transfusion therapy itself.The hospital should objectively analyze the information collected by the system and pay more attention to human factors.
引文
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[5]李玉平,任鹏,王伦善.某三甲医院临床用血合理性调查及改进结果分析[J].检验医学与临床,2015,12(22):3442-3444.
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[7]郑拉让,王俊平.医疗机构输血管理存在的问题及对策探讨[J].中国卫生质量管理,2007,14(2):51-52.
[2]李乃鱼,郭建勋,李栓林.某市综合医院临床输血管理现状调查[J].中国卫生质量管理,2009,16(5):85-87.
[3]吴素芬.2013年-2015年输血病案调查分析[J].中国病案,2017,18(4):71-74.
[4]王莹,贾慧民,刘新亚,等.加强医院用血管理全面提升临床合理用血水平[J].海南医学,2015,26(3):445-447.
[5]李玉平,任鹏,王伦善.某三甲医院临床用血合理性调查及改进结果分析[J].检验医学与临床,2015,12(22):3442-3444.
[6]卫生部.卫生部令[2012]第85号医疗机构临床用血管理办法[S].2012.
[7]郑拉让,王俊平.医疗机构输血管理存在的问题及对策探讨[J].中国卫生质量管理,2007,14(2):51-52.