There is many operation Use blood to be little The patient is safer

There is many operation Use blood to be little The patient is safer
There is many operation Use blood to be little The patient is safer
Special correspondent Duan WenLi of this newspaper In 2007, the operation example is counted and increased by 13% compared with 2006, and dropped clinically by 10% with blood volume in the whole year in BJ Union Hospital. Clinical department in the past because blood transfusion dept. happen with it to the intersection of blood and too tight control often " A sea-fight " ,Shake hands each other nowadays. The increasingly many patient applies voluntarily too to accept since the blood of body inputs etc. and uses blood technology safely in the skill. In curing the working conference of policy in the whole country that is held recently, the science of BJ Union Hospital, safe method to economize on the blood are affirmed and praised. The abundant professor of jade say that the hierarchical authority and examination and approval procedures Beijing of strict blood used in clinic coordinate the director, operation and blood transfusion committee General Board Zhao: "Experience on ' coordinate ' that cut with the blood vessel strictly on one hand, encourage clinicians to economize on blood technology in a more cost-effective manner in the suitable patients on the other hand, accept as well as put on the policy guidance. There is one purpose, guarantee patient's security. " At the end of 2006, the blood supplt of Beijing is tense for a time, the blood transfusion dept. of BJ Union Hospital still receives applying for the blood of 20000 ml 25000 ml every day, and stock was only about 20000 mls at that time. Though Beijing Municipal Health Bureau has been already right " Coordinate " Wait for the blood supplt of the large-scale general hospital to slope for the corresponding policy, but the clinical treatment is still comparatively stressed with the imbalance between supply and demand of the blood. This situation has caused the attention that BJ Union Hospital leads. In January of 2007, hold two meetings continuously, discuss and revise " BJ Union Hospital economize on the blood measure " again in hospital operation and blood transfusion committee. The hospital is on the basis of continuing putting emphasis on grasping indication of blood transfusion strictly, choosing allogenic blood transfusion cautiously, increase the input in apparatus, the intersection of body and blood answer the failing machine increase to 8 since department of anesthesia. Meanwhile, the hospital makes the detailed regulation to the examination and approval system of the blood used in clinic from hierarchical authority and examination and approval procedures: Ones that plan to be less than 600 ml with blood volume, sign to stamp from the above-mentioned attending physician's professional title doctor; Plan to use blood volume to be signed and stamps by the associate professor of treatment in 800 ml 1000 ml; Plan to use the blood to be signed and stamps by the head of the department in 1000 ml 2000 ml; Plan to use blood volume to be reported to medical matters for approval and is put on record after being signed by the head of the department in 2000 ml 3000 ml; Plan to use blood volume more than 3000 ml, it is in charge of the institute leader to examine and approve to offer. The hospital still offers to the blood transfusion dept. " The emperor's sword " --Such as carrying out not according to the above-mentioned regulation, the blood transfusion dept. has the right to refuse to match the blood. On the procedure design applying in the blood used in clinic, " coordinate " Have strengthened scientific management. The information system of blood used in clinic of blood transfusion dept. can apply to reject the ones that went beyond the authority outly with the blood automatically. For example, what one house surgeon filled in uses the blood request slip, after inputting doctor's name on the computer of blood transfusion dept., will spring a word automatically on the computer screen, " this doctor has not applied to use the blood authority " . If input an associate professor's name, the suggestion language of the computer screen is, " this doctor applies for the authority of blood used in clinic and is no more than 5 units " . The staff members of blood transfusion dept. still upgrade the database according to the annual doctor's evaluation of professional titles list, manage strictly. Hospital reform the intersection of distribution of awards and method of blood transfusion dept. also, break off relations with blood volume the intersection of blood transfusion dept. and distribution of awards, make the blood transfusion dept. intercept the unstandard efforts with the blood to obviously strengthen voluntarily. Since the blood of body went back the failing machine became " The fragrant bun " Will it be September 20 2007, BJ Union Hospital hold the whole the intersection of institute and clinical the intersection of department and 200 more than people participate in " the hospital economize on the blood forum in 2007 " . Organize experts to write " the standardard management of clinical blood transfusion is trained the manual " in the medical matters place, release to every conferee, make " blood and blood product are medicines, instead of the nutriment, concern safely patients are safe with the blood " Concept rooted in the hearts of the people. Launch the blood transfusion of body since in the skill in a more cost-effective manner, it is to implement science, be rational, economize on the main technological means of the blood. This technological means can push in BJ Union Hospital open, depend on management and technology. In management, BJ Union Hospital has made the relevant regulation regarding blood transfusion of body since in the skill, since 20% of the indexes of blood transfusion of body are implemented to each operation department the hospital. Department of anesthesia and blood transfusion dept. have set up and economized on the regulations for technical operation of blood, standardard management of quality, enclosed the technological operation manual in period of operation clinically safely, quality evaluation supervise centre verify every the intersection of family and the intersection of body and implementation of blood transfusion since and announce in the whole institute regularly, the hospital or cites to making an outstanding achievement within the range of the whole institute in the department up to standard. These control measures make the whole institute form the good atmosphere which economize on the blood. Technically, BJ Union Hospital promotes the doctor's operation skill wholly, popularize person who control step down and blood dilute and the intersection of body and blood answer technology of failing etc. since in the skill in the skill in suitable patient, have reduced effectively and bled in patient's skill. "Now, even the major operation like pancreas cancer of the basic surgery, ovarian cancer of rectal cancer and gynaecology and obstetrics, ' coordinate ' can make sure to hardly bleed in the skill too, or the bleeding amount is very small. " Superintendent of nurse Zhou Li of the operating room says for example. "In the past, the ovarian cancer operation of the gynaecology and obstetrics needed to prepare against the blood 2000 ml 3000 ml conventionally, prepare against 2000 ml of blood in curved operation of backbone side of dept. of orthopedics. Only need to prepare the red blood cells concentrate of 4 units now, the operation patient prepares against blood volume to reduce by more than 3/4 directly. " Head of the department Bai LianJun says blood transfusion. "These actions make the blood consumption of the stock lower, has avoided the relevant complication of blood transfusion effectively conscientiously. The operation doctor's enthusiasm is aroused, can advise patients to accept from the blood transfusion of body voluntarily too, the increasingly many patient begins to apply for the blood transfusion of body since in the skill voluntarily too. " Anaesthetize the intersection of head of the department and yellow the intersection of space and light, say, " at present, become working routine of the department the blood transfusion of body cheerfully. Infect patient all over except tumour, it is estimated person who bleed the intersection of 400 and more than patient regard as into the intersection of body and target of blood transfusion since. Now, 8 of operating room the intersection of body and blood answer the failing machine succeed ' fragrant bun ' since. "


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