Abstract:

Objective To investigate current situation of clinical blood management in tertiary general hospitals, and to raise rationalization proposal for clinical blood management. Methods Forty-two tertiary general hospitals of Hebei province were investigated on clinical blood management. Clinical blood management, construction of blood transfusion department, blood transfusion medical records were inspected and evaluated via the report hearing, data check, on-site inspection, questionnaires and testing. Results The hospitals were divided into four grades based on total points scored, the number of such hospitals thorough from Grade 1 to Grade 4 were 9, 14, 10 and 9 respectively, and total points scored were (192.6±2.08) points, (183.5±2.09) points, (175.6±3.22) points and (161.7±5.36) points, the scores of clinical blood management of hospital were (73.3±1.09) points, (69.7±2.66) points, (66.2±3.58) points and (59.0±7.29) points respectively, the scores (45.7 points) of blood transfusion department were (44.6±0.91) points, (42.8±1.74) points, (42.1±1.89) points and (39.1±4.62) points respectively, the scores (79.0 point) of blood transfusion medical records were (74.7±1.95) points, (71.1±2.60) points, (67.3±2.78) points and (63.6±7.57) points respectively. Conclusion Substantial insufficiencies for construction and implementation of clinical blood management service, software and hardware construction of blood transfusion department were found with tertiary general hospitals in Hebei. It is an effective measure to properly implement top level design of clinical blood management, strengthen infrastructure and technology construction, improve training and assessment system, emphasize the sense of responsibility, and strictly tighten on supervision and management.

Key words: blood transfusion, clinical governance, tertiary general hospitals, investigation report