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目的:探讨定期抽查病历对临床科学、合理输血的作用。方法:通过分析定期抽查病历开展前后的输血病历各300份,比较病历抽查开展前后的科学合理输血情况。结果:定期病历抽查开展前后,红细胞悬液的合理输注比例分别为80.0%与94.4%;血浆的合理输注比例分别为66.8%与90.0%;血小板的合理输注比例分别为90.1%与95.2%;输血前检查完成率分别为89.3%与99.3%;输血治疗同意书签署率分别为:85.0%与98.7%。结论:开展定期输血病历抽查,联合职能部门督促临床整改,检查发现的问题,有助于临床更好地开展科学合理输血,提高输血安全与疗效。
Objective: To investigate the regular checks of medical records on clinical science, the role of rational blood transfusion. Methods: Through analysis of 300 cases of blood transfusion records before and after the regular checkup of medical records, the scientific and reasonable blood transfusion records were compared before and after the medical records check. Results: Before and after routine medical record random sampling, the reasonable infusion rates of erythrocyte suspensions were 80.0% and 94.4% respectively; the reasonable infusion rates of plasma were 66.8% and 90.0% respectively; the reasonable infusion rates of platelets were 90.1% and 95.2% %; The completion rates of pre-transfusion examination were 89.3% and 99.3% respectively; the rates of consent for blood transfusion were 85.0% and 98.7% respectively. Conclusion: Carrying out routine blood transfusion records checkup, the joint functional departments supervise the clinical rectification, examination found problems, help clinical to carry out scientific and rational blood transfusion to improve blood transfusion safety and efficacy.