CAJ | 학술논문

目的：分析细节管理在提高血库工作质量中的作用。方法收集2012年1月~2013年12月的血库资料，以2012年度血库资料为对照组（未采用细节管理），2013年度血库资料为观察组（采用细节管理），对比分析两组工作质量（包括血库工作流程质量评分、临床合理用血率、输血不良反应率）和医护、患者对输血知识的掌握率、满意度。结果细节管理前后，工作流程质量评分为（6.39±1.27），（8.32±0.91）分；临床合理用血率分别为61.88%，84.01%；因输血而发生的不良反应率分别为3.96%，1.73%；医护对输血知识的掌握率分别为78.33%，95.00%；患者对输血知识的掌握率分别为26.72%，84.17%；医护满意度评分为（69.22±11.86），（85.62±10.39）分；患者满意度评分为（73.80±10.05），（86.61±7.48）分。管理前后各指标数据差异均有统计学意义（P＜0.05）。结论细节管理有助于提升血库的工作质量，增强临床合理用血、减少输血不良反应，提高医患输血知识的掌握及满意度。
목적：분석세절관리재제고혈고공작질량중적작용。방법수집2012년1월~2013년12월적혈고자료，이2012년도혈고자료위대조조（미채용세절관리），2013년도혈고자료위관찰조（채용세절관리），대비분석량조공작질량（포괄혈고공작류정질량평분、림상합리용혈솔、수혈불량반응솔）화의호、환자대수혈지식적장악솔、만의도。결과세절관리전후，공작류정질량평분위（6.39±1.27），（8.32±0.91）분；림상합리용혈솔분별위61.88%，84.01%；인수혈이발생적불량반응솔분별위3.96%，1.73%；의호대수혈지식적장악솔분별위78.33%，95.00%；환자대수혈지식적장악솔분별위26.72%，84.17%；의호만의도평분위（69.22±11.86），（85.62±10.39）분；환자만의도평분위（73.80±10.05），（86.61±7.48）분。관리전후각지표수거차이균유통계학의의（P＜0.05）。결론세절관리유조우제승혈고적공작질량，증강림상합리용혈、감소수혈불량반응，제고의환수혈지식적장악급만의도。
Objective To analyze the application of detail management to improve the quality of work in blood transfusion department. Methods The data of blood transfusion from January 2012 to December 2013, blood transfusion department quality information in 2012 as control group(without the use of details management), but the work quality information in 2013 as the study group(the detail management), comparative analysis of the work quality(including blood quality work flow score, clinical optimal blood transfusion rate and the rate of adverse transfusion reaction), the mastery of the knowledge about blood transfusion as well as the satisfactory of the medical staff and patients for two groups. Results Before and after the details of management for quality scores, were (6.39±1.27),(8.32±0.91); clinical optimal blood transfusion rates were 61.88%,84.01%;because of transfusion induced adverse reaction rates were(3.96%, 1.73%);the doctors and nurses' knowledge about blood transfusion rates were 78.33%, 95.00%; the patients' knowledge about blood transfusion rates were 26.72%, 84.17%; the doctors and nurses' satisfaction were(69.22±11.86),(85.62±10.39); patient satisfaction was(73.80±10.05),(86.61±7.48). Management before and after the data with statistical difference(P < 0.05). Conclusion The detail management would be capable of helping improve the quality of blood transfusion department work, enhance the optimal clinical blood use, reduce the occurrence of the adverse transfusion reaction and improve the understanding of blood transfusion knowledge and patients' also medical staffs' satisfaction.