Application of Comprehensive Quality Management Intervention in the Inconsistent Results of Blood Group Identification

Ying-fang XU; Jie HUANG; Cheng XIAO; Jiang LI; Wei LI; Guang-fang XU; Jian-ling TAN

doi:10.12259/j.issn.2095-610X.S20211035

Volume 42 Issue 11

Nov. 2021

Turn off MathJax

Article Contents

Article Navigation > Journal of Kunming Medical University > 2021 > 42(11): 148-152

Ying-fang XU, Jie HUANG, Cheng XIAO, Jiang LI, Wei LI, Guang-fang XU, Jian-ling TAN. Application of Comprehensive Quality Management Intervention in the Inconsistent Results of Blood Group Identification[J]. Journal of Kunming Medical University, 2021, 42(11): 148-152. doi: 10.12259/j.issn.2095-610X.S20211035

Citation:

Ying-fang XU, Jie HUANG, Cheng XIAO, Jiang LI, Wei LI, Guang-fang XU, Jian-ling TAN. Application of Comprehensive Quality Management Intervention in the Inconsistent Results of Blood Group Identification[J]. Journal of Kunming Medical University, 2021, 42(11): 148-152. doi: 10.12259/j.issn.2095-610X.S20211035

Citation:

Ying-fang XU, Jie HUANG, Cheng XIAO, Jiang LI, Wei LI, Guang-fang XU, Jian-ling TAN. Application of Comprehensive Quality Management Intervention in the Inconsistent Results of Blood Group Identification[J]. Journal of Kunming Medical University, 2021, 42(11): 148-152. doi: 10.12259/j.issn.2095-610X.S20211035

PDF( 597 KB)

Application of Comprehensive Quality Management Intervention in the Inconsistent Results of Blood Group Identification

doi: 10.12259/j.issn.2095-610X.S20211035

Dept. of Transfusion， The 2nd Affiliated Hospital of Kunming Medical University，Kunming Yunnan 650101，China

Received Date: 2021-07-05
Available Online: 2021-11-30
Publish Date: 2021-11-30

Abstract

Abstract

Objective Through retrospective analysis of the inconsistency of the two blood type identification results of blood samples before and after the implementation of the “comprehensive blood transfusion quality management” in our hospital, the reasons were investigated and analyzed, and improvement measures were proposed to ensure the safety of clinical blood use. Methods We performed a comparative analysis of the 2 blood type identification results of blood samples which were tested in the first three years （January 2015 to December 2017） and the later three years （January 2018 to December 2020） in our hospital after implementation of “Comprehensive Blood Transfusion Quality Management” Results From 2015 to 2020, a total of 12,023 cases of blood type identification were performed twice, and a total of 46 blood samples were identified with inconsistent results. The incidence rate was 0.038%, including 34 cases （0.061%） in the first three years and 12 cases （0.019%） in the later three years （P < 0.05）. The related factors were investigated and analyzed. In the first three years after the implementation of “Comprehensive Blood Transfusion Quality Management”, the main reason was the wrong identification of patients, and the main responsibility was the nurse. In the later three years after the implementation of “Comprehensive Blood Transfusion Quality Management”, the main reason was that patients borrow other people’ s information, and the main responsibility was the patient. Conclusion The risk of blood transfusion can be effectively reduced by carrying out “Comprehensive Blood Transfusion Quality Management”, strictly implementing the operating procedures, and comparing the test results of two blood samples of the same patient’ s blood type and cross matching.
- Secondary blood type identification,
- Comprehensive blood transfusion quality management,
- Blood transfusion safety

FullText(HTML)

References(15)

References

[1]	田兆嵩, 刘赴平. 输血前检验应重视的几个问题[J]. 中华检验医学杂志,2001,24(3):10-11.
[2]	Lippi G, Blanckaert N, Bonini P, et al. Causes, consequences, detection, and prevention of identification errors in laboratory diagnostics[J]. Clin Chem Lab Med,2009,47(2):143-153.
[3]	Ibojie J, Urbaniak S. Comparing near misses with actual mistransfusion events: a more accurate reflection of transfusion errors[J]. Br J Haematol,2000,108(2):458-460. doi: 10.1046/j.1365-2141.2000.01876.x
[4]	郭永建. 筑牢血液标本采集错误的防控机制——血型2次检测结果比对要求之习得与实施策略[J]. 中国输血杂志,2013,26(6):595-600.
[5]	尹湧华,孔玉洁,王美玉,等. 《血站技术操作规程(2015版)》研读[J]. 中国输血杂志,2016,29(11):1303-1305.
[6]	Najafpour Z, Hasoumi M, Behzadi F, et al. Preventing blood transfusion failures: FMEA, an effective assessment method[J]. BMC Health Services Research.,2017,17(1):453. doi: 10.1186/s12913-017-2380-3
[7]	宫济武, 李志强. 输血相容性试验标准检测流程[J]. 中国输血杂志,2012,25(9):815-817.
[8]	李喜莹, 甘佳, 王鹏. 输血相容性检测室内质量控制的失控判定与处理专家共识[J]. 中国输血杂志,2020,33(1):1-3.
[9]	张业玲,卜晓佳,张景莲,等. 智慧型闭环移动护理管理系统在临床用血质量管理中的应用[J]. 中国输血杂志,2021,34(4):420-423.
[10]	卢思超,廖奇峰,汪小燕,等. 失效模式与效应分析在输血安全管理中的应用[J]. 现代医院,2021,21(3):365-367,370.
[11]	汪蓉,杨宝义,李龙倜,等. 失效模式与效应分析在ICU 输血安全管理中的应用效果[J]. 中国医药导报,2019,16(26):186-188.
[12]	陈香凤,朱倩兰,张明霞,等. 医疗失效模式与效应分析在围手术期住院患者检查流程中的应用[J]. 护理管理杂志,2019,19(5):365-369.
[13]	胡正军,陈晨,戴潇青,等. 加强检验与临床沟通促进检验结果对患者负责[J]. 中医药管理杂志,2017,25(15):166-168.
[14]	王远杰,刘家瑞,李红梅,等. 二次血型制配合输血管理系统阻止不相容血液发放的研究[J]. 国际输血及血液学杂志,2015,38(6):481-485.
[15]	朱静,詹廷西,王静,等. 162 967例二次血型结果分析及其在输血安全中的意义探讨[J]. 中外医学研究,2021,19(2):169-171.

Relative Articles(20)

Relative Articles

[1]	Lan Shen, Tongqing Pu, Jiangbo Ding, lunqing Pu, Gang Ma, Tianrui Wang. Application Effect of Whole-process Management Based on Rapid Rehabilitation Combined with Damage Control in Multiple Injuries. Journal of Kunming Medical University, 2023, 44(8): 128-132. doi: 10.12259/j.issn.2095-610X.S20230825
[2]	Yuan YUAN, Lijuan YIN, Yonglin QI. Studies on the Effect of Fasting or Feeding on Intestinal Oxygenation in Neonates during Blood Transfusion. Journal of Kunming Medical University, 2023, 44(1): 168-172. doi: 10.12259/j.issn.2095-610X.S20230119
[3]	Yan WANG, Rong DING, Lvling ZHANG, Ruohua WANG, Xiaoling ZHAO, Na MA. Efficacy of Blood Transfusion Combined with Chemoradiotherapy in Patients with Colorectal Cancer and its Effect on Tumor Markers and T Lymphocyte Levels. Journal of Kunming Medical University, 2022, 43(8): 61-65. doi: 10.12259/j.issn.2095-610X.S20220809
[4]	Jin-hong LI, Hong WANG. Efficacy and Safety of Valsartan Amlodipine Tablets Combined with Alpha-lipoic Acid in the Treatment of Elderly Patients with Type 2 Diabetic Nephropathy Complicated with Hypertension. Journal of Kunming Medical University, 2021, 42(4): 53-56. doi: 10.12259/j.issn.2095-610X.S20210410
[5]	Li Rui , Ou Mi , Li Yan , Yang Ying , Wang Chun Hui , Lv Feng Lin . . Journal of Kunming Medical University, 2020, 41(05): 163-166.
[6]	Zhang Hai Yan , Li Hui Min , Wang Lan . . Journal of Kunming Medical University, 2020, 41(06): 174-177.
[7]	Tan Ya Xin , Li Shan , Wang Ting Hua , Xi Yang Yan Bin . . Journal of Kunming Medical University, 2019, 40(12): 7-12.
[8]	Li De Ying , Wang Yu Ming , Chai Hua Xiang , Dong Wei Qun . . Journal of Kunming Medical University, 2019, 40(11): 59-62.
[9]	Li Wei Hua , Zhao Gong Fang , Huang Hua , Lu Ming Liang . . Journal of Kunming Medical University, 2018, 39(11): 98-102.
[10]	Mei Li Jun , Zhang Ning , Chen Wei . The Effect of Allogenic Blood Transfusion on the Prognosis after Esophagectomy among Patients with Esophageal Cancer. Journal of Kunming Medical University, 2018, 39(04): 73-78.
[11]	Li Xiao Tao , Li Jiong Ming , Liu Jian He , Jiang Yong Ming , Zhang Jing Song . . Journal of Kunming Medical University, 2017, 38(05): 56-60.
[12]	Zheng Dang . The Efficacy and Safety of Alpha Lipoic Acid Combined with Methycobal for Patients with Type-2 Diabetes Combined with Diabetic Peripheral Neuropathy. Journal of Kunming Medical University,
[13]	Wang Dong Mei . . Journal of Kunming Medical University,
[14]	Chi Xiu Ping . . Journal of Kunming Medical University,
[15]	Wang Dong Mei . . Journal of Kunming Medical University,
[16]	Xu Xia . . Journal of Kunming Medical University,
[17]	Yao Yan Qiong . . Journal of Kunming Medical University,
[18]	Xu Ying Fang . . Journal of Kunming Medical University,
[19]	Cai Ling Jun . . Journal of Kunming Medical University,
[20]	. The Clinical Analysis of 60 Cases of Adverse Reactions caused by Blood Transfusion. Journal of Kunming Medical University,