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目的调研全国采供血机构与临床医疗机构合作、开展临床用血监管现状。方法以发放问卷调查表的方式,对全国省市两级采供血机构所在城市2012~2014年的相关临床用血管理工作进行调研,内容包括:采供血机构开展临床用血管理现状、采供血机构与临床合作情况等,所得数据进行分类汇总和整理分析。结果 2014年全国采供血机构供血医院总数超过21 343个,170家血站所在城市设立中心储血室863个,对中心储血室进行体系化管理、定期检查、血液调剂的血站分别达89%(151/170)、96%(164/170)、87%(148/170),全国40%(140/350)的血站成为各地输血质控中心挂靠单位,开展临床用血监督管理的血站达41%(142/350)。2012-2014年临床向采供血机构反馈输血不良反应例数、采供血机构为临床解决疑难配血数目均不断增长。结论采供血机构与临床医疗机构应有良好的沟通,建立互助合作关系,提高服务质量水平,加强输血监管,确保用血安全。
Objective To investigate the cooperation between national blood collection and supply agencies and clinical medical institutions to carry out the clinical monitoring of blood status. Methods A questionnaire survey was conducted to investigate the clinical management of blood-related diseases in the cities of provinces, cities and municipalities from 2012 to 2014 in China. The contents include: the status quo of clinical blood-using management of blood-collecting and blood-donating institutions, And clinical cooperation, etc., the data collected for classification and analysis. Results In 2014, the total number of blood supply hospitals in the country exceeded 21,343, and there were 863 blood storage centers in 170 bloodstain stations. The blood bank of the center was routinely inspected and managed systematically (151/170), 96% (164/170), 87% (148/170), and 40% (140/350) of blood stations throughout the country became affiliated units of blood transfusion control centers throughout the country to carry out clinical blood monitoring and management Blood stations reached 41% (142/350). In 2012-2014, the number of blood transfusion adverse reactions was reported to the blood collection and delivery agencies, and the number of blood collection and blood supply agencies for the clinical solution to the problem was continuously increasing. Conclusion Blood collection agencies and clinical medical institutions should have good communication, establish mutual cooperation and cooperation, improve service quality, strengthen blood transfusion regulation and ensure blood safety.