Deficiency and improvement of blood transfusion information system in Binzhou Medical University Hospital of Shandong province currently

Objective To explore the deficiency of blood transfusion information system which ran in Binzhou Medical University Hospital of Shandong province, and put forward some solutions, in order to provide reference for the development and design of blood transfusion information system. Methods From January 2012 to December 2013, the transfusion-related information counted by Jindun transfusion information system of 1 051 transfusion patients who receiving blood transfusion therapy in our hospital were chosen as the research objects. All the transfusion-related information was evaluated by means of item scoring method. And from January 1st to 7th, 2014, a total of 200 medical staff in our hospital were selected as the survey objects. Investigation was conducted by self-designed questionnaire including the potential safety hazard in blood transfusion process and the demand of critical control points. So that to find out the existing problems and put forward solutions by using statistical analysis with the valid questionnaire. Results Evaluation results of 1 051 copies of transfusion-related information showed that scores of all the information were more than 80 points, and scores of 441 copies (42.0%) were more than 90 points. The highest eligible rate in this study was nursing records and adverse transfusion reactions response of blood transfusion, and it reached 99.8%. The lowest pass rate was application and progress notes of blood transfusion, and the rate was 72.5% and 82.4% respectively. Of the 200 questionnaires, 161 copies were valid. Survey results showed that respondents believe software factors were the main cause of the potential safety hazard in examination before blood transfusion, application for blood transfusion, blood sample extraction, and transfusion application review(χ2=144.80, 213.39, 89.74, 35.01; P<0.01), and human factors were the main cause of the potential safety hazard in supervision of blood transfusion(χ2=97.62; P<0.01). Survey results of critical control points showed that the total demand was 83.2%, and the average score was 1.3 score. Demand of critical control points were mainly concentrated in mandatory reminder to sign the consent form for transfusion treatment, bar code check in nursing specimen collection, and medical records template of blood transfusion. Conclusions In transfusion process, many potential safety hazard of transfusion were caused by inadequate or incomplete information system. Medical staff had high demand for the function of critical control points in information system. On the basis of basic functions, it can effectively improve the safety of blood transfusion if the information system of blood transfusion grasp the critical control points and avoid the above problems by updating the information system. Key words: Blood transfusion; Blood safety; Needs assessment; Information system