Joshi G P, Landers D F
University of Texas South-western Medical Center at Dallas, 75235-9068, USA.
J Eval Clin Pract. 1998 May;4(2):141-6. doi: 10.1046/j.1365-2753.1998.00010.x.
Given the growing concern for the safety, cost and adequacy of blood supply, there is an increasing need for appropriate blood product utilization. Despite a number of consensus guidelines for the transfusion of allogeneic blood products, inappropriate blood transfusion continues. We discuss the quality assurance process for improvement in transfusion therapy including audit of blood transfusion. Audits identify areas of problems in transfusion practice which can be corrected by education of doctors, formulation of practice guidelines and algorithms. To improve the effectiveness of the audit programmes, the frequency of audits has to be maintained and there should be continual reinforcement of policies.
鉴于对血液供应的安全性、成本和充足性的关注度不断提高，对适当使用血液制品的需求也日益增加。尽管对于异体血液制品的输血有一些共识性指南，但不适当的输血情况仍在持续。我们讨论了改善输血治疗的质量保证过程，包括输血审计。审计可识别输血实践中的问题领域，这些问题可通过对医生的教育、制定实践指南和算法来纠正。为提高审计计划的有效性，必须保持审计频率，并且应持续强化相关政策。
