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目的单采血小板耗材成本较高,通过加强采血质量管理,以降低因单采失败所致耗材报废率,节约成本。方法自2014年1月-2015年5月期间,通过加强采血质量管理,特别加强对献血者血管条件筛选、献血者血常规参数筛选、献血者饮食指导和管理、献血者心理护理、采血护士培训等关键环节控制,并将每月单采耗材报废率纳入科内质量目标管理。回顾性对比分析2011年8月-2013年12月单采耗材报废率。结果 2011年8月-2013年共正常使用单采耗材25 253套,报废369套,报废率为1.44%;2014年1月-2015年5月共正常使用单采耗材23548套,报废292套,报废率为1.22%(管理前、后单采耗材报废率比较,P<0.05)。其中因红细胞污染、献血反应、机器故障/操作不当、乳糜血等原因所致的单采耗材报废率下降,且差异有统计学意义(P<0.05)。结论通过加强采血质量管理,可以明显降低因单采失败所致耗材报废率,从而节约成本。
Objective Single platelet consumables cost higher, by strengthening blood quality management, to reduce scrapped consumables scrapped rate, cost savings. Methods From January 2014 to May 2015, blood quality management was enhanced to screen blood donors, screening blood donors ’blood parameters, providing dietary guidance and management for blood donors, blood donors’ psychological nursing and blood nurse training And other key aspects of control, and the monthly consumption rate of single consumables included within the quality management objectives. Retrospective comparative analysis of August 2011 - December 2013 single mining consumables scrap rate. Results A total of 25 253 sets of single-use consumables were used normally between August 2011 and 2013, with 369 sets of scraps scrapped and the scrapping rate was 1.44%. In January 2014-May 2015, a total of 23,548 sets of single-use consumable materials were used normally and 292 sets of scraps were scrapped. The scrap rate was 1.22% (before and after the consumptive material scrap rate comparison, P <0.05). Among them, the rejection rate of apheresis consumables due to red blood cell contamination, blood donation reaction, improper machine operation / improper operation, chylous blood and other causes decreased, with statistical significance (P <0.05). Conclusion By strengthening the quality control of blood sampling, the consumables scrap rate due to the failure of single-chip mining can be significantly reduced, thereby saving costs.