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Blood transfusion medical record quality evaluation model

A technology of quality evaluation and medical records, applied in the field of clinical blood transfusion management, can solve the problems of ineffective incentives for clinical writing doctors, poor scientificity, etc., and achieve the effect of reducing the occurrence of adverse blood transfusion reactions and adverse events.

Pending Publication Date: 2021-01-15
ZHONGSHAN HOSPITAL FUDAN UNIV
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

[0003] At present, the detection and management of blood transfusion medical records adopts a manual mode, and the medical records are evaluated as qualified or unqualified according to the completeness of the items. Most of the evaluation of blood transfusion medical records is based on expert experience, which is simple and contains many human factors, and is not scientific. , it is difficult to fully implement early warning for blood transfusion safety; on the other hand, the reward and punishment incentives for clinical writing doctors are not great

Method used

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  • Blood transfusion medical record quality evaluation model
  • Blood transfusion medical record quality evaluation model
  • Blood transfusion medical record quality evaluation model

Examples

Experimental program
Comparison scheme
Effect test

Embodiment 1

[0022] Embodiment 1 Construction of fuzzy comprehensive evaluation system

[0023] Based on the "Administrative Measures for Clinical Blood Use in Medical Institutions", "Technical Specifications for Clinical Blood Transfusion", and "Guidelines for the Implementation of Accreditation Standards for Tertiary General Hospitals", a multi-dimensional evaluation was established by using the Covariance-Analytic Hierarchy Process (Cov-AHP) fuzzy evaluation method System, extract the key elements of each dimension, establish an evaluation system of 4 dimensions, extract the key elements of each dimension, and then form a scoring team composed of blood transfusion department and clinical experts to score according to importance, select and retain 15 indicators. Finally, a medical record quality evaluation index system with 3 levels, 4 dimensions, and 15 evaluation indexes was constructed, as shown in Table 1.

[0024] Table 1. Evaluation system of blood transfusion medical records

[0...

Embodiment 2

[0026] Example 2 Cov-AHP-based index weighting

[0027] 2.1 Establish scoring matrix

[0028] After clarifying the concept, meaning and judgment criteria of the matrix, the members of the expert group scored the relative importance of indicators at the same level according to the 1-9 scale method. See Table 2 to construct a scoring matrix.

[0029] Table 2, 1-9 scaling method

[0030]

[0031]

[0032] 2.2 Establish a comprehensive judgment matrix and consistency verification

[0033] According to the scoring matrix of each expert, the covariance matrix (A) is calculated, as shown in Table 3.

[0034] Table 3. Covariance matrix (A)

[0035] U U 1

U 2

… U i

… U j

… U n

U 1

c 11

c 12

… c 1i

… c 1i

… c 1n

U 2

c 21

c 22

… c 2i

… c 2j

… c 2n

… … … … … … … … … U i

c i1

c i2

… c ii

… c ij

… c in

… … … … … … … … … U n

c n1 ...

Embodiment 3

[0062] Example 3 Establishing Scoring Criteria for Blood Transfusion Medical Records

[0063] Based on the calculation and statistical results of Example 2, establish a blood transfusion medical record quality evaluation model or claim a blood transfusion medical record scoring standard, which is a mathematical model as shown in the following formula:

[0064] F=0.1111*Score of related examinations before blood transfusion+0.0443*Score of applicant’s professional title+0.0438*Score of application variety / volume+0.0456*Score of first page of medical record+0.1456*Score of blood transfusion consent form+0.1001*Score of blood transfusion course record+0.0344*Requisition form for blood transfusion Score+0.1032*intraoperative blood transfusion record score+0.0591*transfusion correction / objective score+0.1179*blood transfusion efficacy evaluation score+0.0677*blood transfusion adverse reaction score+0.0342*score from blood collection time to blood transfusion time+0.0314*crossmatch b...

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Abstract

The invention discloses a blood transfusion medical record quality evaluation model. The model is the following mathematical model: F=0.1111*related examination score before blood transfusion+0.0443*applicant physician title score+0.0438*application variety / dose score+0.0456*medical record home page score+0.1456*blood transfusion agreement book score+0.1001*blood transfusion course record score+0.0344*blood transfusion application form score+0.1032*intraoperative blood transfusion record score+0.0591*blood transfusion indication / destination score+0.1179*blood transfusion curative effect evaluation score+0.0677*blood transfusion adverse reaction score+0.0342*blood collection time-to-blood transfusion time score +0.0314*cross blood matching form score+0.0212*blood bag recovery score+0.0402 *blood transfusion starting time-to-ending time score, wherein the highest score of each index is 100, the filling correctness is 100, and the filling error or missing is 0; if F is less than 60, the medical record is unqualified; if F is more than or equal to 60 and less than 80, the medical record is qualified; if F is more than or equal to 80 and less than or equal to 99, the medical record is good; and if F is equal to 100, the the medical record is excellent. The model can be used for clinical blood transfusion management and blood transfusion safety early warning.

Description

technical field [0001] The invention belongs to the field of clinical blood transfusion management, and in particular relates to a blood transfusion medical record quality evaluation model that can be used for early warning of blood transfusion safety. Background technique [0002] As the first line of defense for the safety warning of blood transfusion recipients, the blood transfusion department of the hospital is the key to preventing adverse reactions and adverse events of blood transfusion. It needs a complete blood information network system and reporting mechanism, so that the entire clinical blood transfusion chain is under network monitoring. The clinical blood transfusion medical record prepared by the hospital for blood transfusion recipients records all the information related to the patient's blood transfusion. The quality of blood transfusion medical records reflects the level of standardized and reasonable blood use in hospitals, and also affects clinical bloo...

Claims

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Application Information

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IPC IPC(8): G16H10/60G16H20/17G06Q10/06
CPCG06Q10/06393G16H10/60G16H20/17
Inventor 杨春晨戎瑞明周蓉李杨
Owner ZHONGSHAN HOSPITAL FUDAN UNIV
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