输血监测：一所公立教学医院的护理实践分析
Transfusion monitoring: care practice analysis in a public teaching hospital.
作者信息
Reis Valesca Nunes Dos, Paixão Isabella Bertolin, Perrone Ana Carolina Amaral de São José, Monteiro Maria Inês, Santos Kelli Borges Dos
机构信息
Universidade Federal de Juiz de Fora, Juiz de Fora, MG, Brazil.
Hospital Universitário, Universidade Federal de Juiz de Fora, Juiz de Fora, MG, Brazil.
出版信息
Einstein (Sao Paulo). 2016 Jan-Mar;14(1):41-6. doi: 10.1590/S1679-45082016AO3555.
OBJECTIVE
To analyze the process of recording transfusion monitoring at a public teaching hospital.
METHODS
A descriptive and retrospective study with a quantitative approach, analyzing the instruments to record transfusion monitoring at a public hospital in a city in the State of Minas Gerais (MG). Data were collected on the correct completion of the instrument, time elapsed from transfusions, records of vital signs, type of blood component more frequently transfused, and hospital unit where transfusion was performed.
RESULTS
A total of 1,012 records were analyzed, and 53.4% of them had errors in filling in the instruments, 6% of transfusions started after the recommended time, and 9.3% of patients had no vital signs registered.
CONCLUSION
Failures were identified in the process of recording transfusion monitoring, and they could result in more adverse events related to the administration of blood components. Planning and implementing strategies to enhance recording and to improve care delivered are challenging.
目的
分析一家公立教学医院输血监测记录过程。
方法
采用定量描述性回顾性研究，分析米纳斯吉拉斯州（MG）某城市一家公立医院输血监测记录工具。收集关于记录工具填写正确性、输血开始后的时间、生命体征记录、最常输注的血液成分类型以及输血所在医院科室的数据。
结果
共分析了1012份记录，其中53.4%在记录工具填写上存在错误，6%的输血在推荐时间之后开始，9.3%的患者未记录生命体征。
结论
在输血监测记录过程中发现了失误，这些失误可能导致更多与血液成分输注相关的不良事件。规划和实施加强记录及改善所提供护理的策略具有挑战性。
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