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目的调查分析2016年辽宁省三级医院临床用血及输血科(血库)的管理现状,为更好地规范及完善本省的临床用血及输血科(血库)的管理提供依据。方法根据辽宁省临床用血质控中心组织制定的《2016年度辽宁省市级医疗机构输血科(血库)检查细则》及《2016年度辽宁省医疗机构临床用血质量管理检查评分细则》,对辽宁省48家三级医院临床用血管理及输血科(血库)科室管理进行评分,评分结果汇总后应用SPSS软件分析各城市三级医院总分及单项平均分。结果以百分制计算,全省48家三级医疗机构输血科(血库)科室管理总分平均分为83分,单项平均分分别为组织与管理(4.6分)、功能与任务(3.7分)、科室设置(7.6分)、人员配置(3.6分)、仪器设备(7.7分)、试剂与耗材(9.6分)、安全与卫生(4.4分)以及科室业务管理(41.8分);临床用血管理总分平均分为86.5分,单项平均分分别为组织与职责(8.8分)、医务部(17.8分)、护理部(8.9分)、输血科(4.3分)、麻醉科(2.9分)以及临床科室(43.8分)。结论总体上本省三级医院的临床用血及输血科(血库)管理比较规范,但仍存在监督、管理及制度落实不到位,输血科基础建设及人才配备欠缺等诸多问题。
Objective To investigate and analyze the management status of clinical blood and blood transfusion department (blood bank) of tertiary hospitals in Liaoning province in 2016, and provide basis for better regulating and improving the management of clinical blood and blood transfusion departments (blood banks) in the province. Methods According to “Inspection Rules of Blood Transfusion Section (Blood Bank) of Municipal Medical Institutions in 2016 in Liaoning Province” and “Detailed Rules of Clinical Blood Quality Control Examination of Medical Institutions in 2016 in Liaoning Province” formulated by Clinical Blood Quality Control Center of Liaoning Province, Liaoning Province Provincial 48 hospitals in the clinical management of blood and blood transfusion department (blood bank) department management score, the results of the application of SPSS software after the summary of the analysis of the city tertiary hospitals total score and individual average score. The results were calculated on a percentile scale. The administrative divisions of departments of blood transfusion (blood bank) in 48 tertiary medical institutions across the province averaged 83 points. The individual average scores were organization and management (4.6 points), function and task (3.7 points) (7.6 points), staffing (3.6 points), equipment (7.7 points), reagents and supplies (9.6 points), safety and health (4.4 points) and departmental business management (41.8 points) The average score is 86.5 points. The individual average points are organization and responsibility (8.8 points), medical department (17.8 points), nursing department (8.9 points), blood transfusion department (4.3 points), anesthesiology department (2.9 points) and clinical departments 43.8 points). Conclusion In general, the administration of clinical blood and blood transfusion department (blood bank) in the tertiary hospitals in the province is quite standardized, but there are still many problems such as supervision, management and implementation of the system are not in place, infrastructure of transfusion department and lack of qualified personnel.