CAJ | 학술논문

目的：探讨输血核对表（输血checklist）在ICU临床输血安全管理中的实施方法与应用效果。方法依据《临床输血技术规范》及《输血查对制度》设计ICU输血checklist，导入护士输血过程，将导入前2013年1~5月遵医嘱输血的379例次作为对照组，导入后2013年6~12月遵医嘱输血的846例次作为实验组，对比导入前后护理输血安全相关不良事件的发生率。结果对照组不良事件的发生率为1.32%（5/379），实验组无不良事件发生，2组比较字2=11.21，P<0.05。结论输血checklist的应用，降低了护理输血安全不良事件的发生率，有效提高了护理安全质量及患者满意度。
목적：탐토수혈핵대표（수혈checklist）재ICU림상수혈안전관리중적실시방법여응용효과。방법의거《림상수혈기술규범》급《수혈사대제도》설계ICU수혈checklist，도입호사수혈과정，장도입전2013년1~5월준의촉수혈적379례차작위대조조，도입후2013년6~12월준의촉수혈적846례차작위실험조，대비도입전후호리수혈안전상관불량사건적발생솔。결과대조조불량사건적발생솔위1.32%（5/379），실험조무불량사건발생，2조비교자2=11.21，P<0.05。결론수혈checklist적응용，강저료호리수혈안전불량사건적발생솔，유효제고료호리안전질량급환자만의도。
Objective To explore the method and effect of checklist tool implemented in the safety management of clinical blood transfusion in intensive care unit. Methods A checklist was specially designed according to the technical standard and check system of clinical blood transfusion. 379 patients prescribed a blood transfusion enrolled in ICU from January to May 2013 were conducted as the control group before the checklist was designed. After the application of checklist during the blood transfusion process, 846 patients prescribed a blood transfusion enrolled in ICU from June to December 2013 were conducted as the experimental group. The incidence of blood transfusion safety related adverse events between the two groups was compared. Results The incidence of adverse events was 1.32% (5 of 379 patients) in the control group, and there was no sign of adverse events occurred in the experimental group. The difference had statistical significance (χ2=11.21, P<0.05). Conclusion The application of checklist reduced the incidence of blood transfusion safety related adverse events,and effectively improved the quality of nursing safety and patient satisfaction.