1. In the first quarter of our department, 24 patients received * * * blood transfusion. The transfusion volume of suspended red blood cells is 37U, and the plasma is 2950ml.
2. Patient ID number. : 248460 (in charge of Huang Yuelong). The course of disease was recorded during plasma infusion, and there was a lack of transfusion methods and types of ischemic plasma deficiency.
3. Patient ID number. : 25427 1 (director Liu Guang) Only "hanging red" was written in the course record when plasma was transfused.
4. Patient ID number. : 257096 (supervisor of Yuju Store). The blood transfusion application form lacks the purpose of blood transfusion.
Second, the reason analysis
1. The blood transfusion application and blood transfusion record are not serious, and the legal awareness is not strong;
2. Poor sense of responsibility;
3. The medical staff were afraid of trouble and did not check after the medical record was completed;
Third, continuous improvement plan
1. Learn the Hospital Related System and the medical record writing standard;
2. The medical staff carefully study the Detailed Rules for the Implementation of Evaluation Criteria for Level III General Hospitals (122).
4. 19.4. 1. Require doctors to fill in a standardized and complete blood transfusion application form, which shall be reviewed and signed by doctors above the attending physician.
3. The whole hospital departments to correctly fill in the clinical blood transfusion examination register specification and blood transfusion examination system related knowledge for theoretical assessment;
First, in order to strengthen the standardized management of blood transfusion in our department and ensure the safe use of blood, the blood transfusion work of our department in the first quarter of 20 13 is summarized as follows:
1. In the second quarter of our department, * * * blood transfusion 15 cases, 44.5U of red blood cells in suspension and 0/950 ml of plasma.
2. Patient ID number: 259069 (translated from Chinese), HB > 70g/L transfusion of suspended red blood cells, which is an unreasonable blood transfusion.
3. Patient ID numbers: 267037 (Director) and 265722 (Director Liu). The blood transfusion application form has no doctor's signature, date and ischemic type.
4. Patient ID number. : 269398 (directed by Liu). The blood transfusion application form has no doctor's signature and date.
Second, the reason analysis
1. The blood transfusion application and blood transfusion records are not carefully written, and the legal awareness is not strong;
2. Poor sense of responsibility;
3. The medical staff were afraid of trouble and did not check after the medical record was completed;
Third, continuous improvement plan
1. Learn the Hospital Related System and the medical record writing standard;
2. The medical staff carefully study the Detailed Rules for the Implementation of Evaluation Criteria for Level III General Hospitals (122).
4. 19.4. 1. Require doctors to fill in a standardized and complete blood transfusion application form, which shall be reviewed and signed by doctors above the attending physician.
3. The whole hospital departments to correctly fill in the clinical blood transfusion examination register specification and blood transfusion examination system related knowledge for theoretical assessment;