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

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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

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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

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