CAJ | 학술논문

目的：探讨规范医院输血安全管理水平的有效方法。方法在2011年8月对全院73个护理单元进行输血规范检查并对不同层级护士进行输血相关知识测试后，进行总结，然后根据存在的问题，结合三级综合医院评审标准完善制度、制定规范流程，进行反复培训、考核，反复督导，并利用PDCA持续改进，2013年4月，再次对全院73个护理单元进行病历检查并对不同层级护士进行输血知识提问。结果医院安全输血相关制度不断完善并持续改进；医院输血管理制度及规范流程得到落实；两次检查及提问比较，2011年8月份检查存在问题基本解决，都达到了安全指标，护士的输血相关知识掌握程度提高，差异均有统计学意义（ P＜0．01）。结论通过三级综合医院评审的等级创建，推进了医院安全输血管理工作，加强了规范化管理；提升了管理水平；保证了患者安全输血。
목적：탐토규범의원수혈안전관리수평적유효방법。방법재2011년8월대전원73개호리단원진행수혈규범검사병대불동층급호사진행수혈상관지식측시후，진행총결，연후근거존재적문제，결합삼급종합의원평심표준완선제도、제정규범류정，진행반복배훈、고핵，반복독도，병이용PDCA지속개진，2013년4월，재차대전원73개호리단원진행병력검사병대불동층급호사진행수혈지식제문。결과의원안전수혈상관제도불단완선병지속개진；의원수혈관리제도급규범류정득도락실；량차검사급제문비교，2011년8월빈검사존재문제기본해결，도체도료안전지표，호사적수혈상관지식장악정도제고，차이균유통계학의의（ P＜0．01）。결론통과삼급종합의원평심적등급창건，추진료의원안전수혈관리공작，가강료규범화관리；제승료관리수평；보증료환자안전수혈。
Objective To investigate whether the process of accreditation of comprehensive third-grade class A hospitals was an effective way to regulate the safety of blood transfusion .Methods In August 2011 blood transfusion regularity was checked in the 73 nursing units of the hospital , nurses of different ranks were tested on related knowledge of blood transfusion , and problems were found .According to the problems , together with the disciplines of the accreditation of third-grade class A hospitals , a standard procedure was made and the nurses were trained and tested repeatedly .All the wards were checked and instructed for the application of the standard procedure and PDCA was used for further improvement .In April 2013 blood transfusion regularity was checked in the 73 nursing units again and nurses of different ranks were tested on the knowledge of blood transfusion.Results The related regularity of safe blood transfusion was improved , and the regularity and standard procedure were applied .With comparisons and contrasts of the two checks and tests of the nurses , most problems found in the check of August 2011 were solved and the safety standard was reached with the result , nurses’ degree of mastering knowledge about safety of blood transfusion was improved , which all had statistical significant differences (P <0.01).Conclusions With the building of third-grade class A comprehensive hospitals, the safety of blood transfusion is promoted , and the management of the hospital is improved and the safety of blood transfusion is guaranteed .