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目的:探讨在临床输血工作管理中,通过对临床输血病历的管理,达到提高临床输血安全性,防范因输血导致的医疗纠纷。方法:以《中华人民共和国献血法》及卫生部《医疗机构临床用血管理办法》、《临床输血技术规范》、《医院感染管理规范》为依据,制定医院临床输血病历的管理办法。对我院2005年1月~2006年9月临床住院患者输血病历进行检查分析。结果:2005年1月~2006年9月住院患者输血病历为2650例,检查了输血病历2321例,占总输血病历的87.6%,合格输血病历2109例,占检查输血病历90.9%,不合格输血病历212例,占检查输血病历9.1%。结论:通过对临床输血病历的检查,医护人员对临床输血管理相关的法律法规的认识,风险意识有所增加,提高了临床输血的安全性,起到了防范临床用血管理不善及输血传播病毒性疾病引起的医疗纠纷。
Objective: To explore the management of clinical blood transfusion, through the management of clinical transfusion records, to improve the safety of clinical transfusion and prevent medical disputes caused by blood transfusion. Methods: Based on the “Blood Donation Law of the People’s Republic of China” and the “Clinical Blood Management Measures of Medical Institutions”, “Clinical Technical Specifications of Blood Transfusion” and “Norms of Nosocomial Infection Management” issued by the Ministry of Health, the hospital manages to make clinical transfusion medical records. In our hospital from January 2005 to September 2006 clinical hospitalized patients with transfusion records were analyzed. Results: From January 2005 to September 2006, transfusion records of inpatients were 2650 cases, 2321 cases of transfusion were examined, accounting for 87.6% of the total transfusion records, 2109 cases of qualified transfusion records, accounting for 90.9% of the transfusion records, failed transfusion 212 cases of medical records, accounting for 9.1% of transfusion medical records. Conclusion: Through the examination of clinical blood transfusion records, the awareness of medical staff on the laws and regulations related to clinical transfusion management has increased the awareness of risk, improved the safety of clinical transfusion, and prevented the use of clinical maladjustment and transfusion transmitted virus Medical disputes caused by the disease.