改善血液输血请求表格的文档质量:苏丹一家三级医院的两周期质量改善计划
Fakher Aldeen Raft Fakher Aldeen Noman1, Romisaa Elamin2, Mohammed Osman Ahmed Osman3
1Emergency Department, Sudan Medical Specialization Board, Khartoum, SDN.
Cureus
|November 17, 2025
概括
改进输血申请表格可以提高患者的安全性. 在Dongola教学医院的一项质量改善计划显著提高了表格的完整性和准确性,减少了输血错误.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 患者安全 患者安全
- 临床审计 临床审计
背景情况:
- 不完整的输血申请表对患者安全构成风险,导致错误和不良结果.
- 准确的文件对于有效的输血服务和医疗法律合规性至关重要.
- 唐戈拉教学医院旨在加强其输血请求流程.
研究的目的:
- 为了评估输血申请表的完整性和准确性.
- 实施和评估质量改进倡议,以增强文档.
- 通过更好的输血请求程序,提高患者安全.
主要方法:
- 一个双循环,闭环的临床审计,使用计划-做-研究-行为 (PDSA) 模型.
- 50个表单 (第1周期) 和42个表单 (第2周期) 的回顾性和前性审查.
- 引入标准化表格,并在第1周期后确定缺陷后对员工进行培训.
主要成果:
- 在记录患者人口统计数据 (例如,档案号为97.6%) 和临床细节 (例如,输血指示为82.9%) 方面的显著改进.
- 在实验室文档方面显著提高,包括采集者的签名 (97.6%) 和采集时间 (97.6%).
- 记录所要求的单位数量 (85.4%) 略有下降.
结论:
- 质量改善干预成功提高了输血请求的完整性和准确性.
- 改进有助于提高输血安全性和遵守国际标准.
- 持续的改进需要持续的监测,反和定期的重新审计.
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