基于Cov-AHP-模糊综合评价法构建输血病历质量评价模型

目的基于协方差-层次分析(covariance-analytic hierarchy process,Cov-AHP)-模糊综合评价法构建一种临床输血病历质量评价模型。方法通过专家组打分,建立临床输血病历质量评价指标体系。采用协方差-层次分析法(Cov-AHP)对评价指标进行赋权,建立临床输血病历质量评价模型。并收集复旦大学附属中山医院2019年3月~2019年12月的100份临床输血病历,对建立的输血病历质量评价模型进行验证。结果从输血申请流程、输血文书、输血评估、输血护理四个维度构建了输血病历评价指标体系,确定各指标权重。通过对100份输血病历进行评价,验证了模型的可行性。结论该输血病历评价模型可以更加科学合理的评价临床输血病历,提高医生对临床输血的重视,还可以监管临床输血链,完善输血安全预警系统,有效减少输血不良反应和不良事件的发生。

An Evaluation Model of Clinical Blood Transfusion Records Based on Cov-AHP-fuzzy Comprehensive Evaluation Method

Objective To construct an evaluation model of clinical blood transfusion records based on Cov-AHPfuzzy comprehensive evaluation method.Methods An index system for the quality evaluation of clinical blood transfusion records was established by the professional scoring method.The weight of each index was determined by covariance-analytic hierarchy process(Cov-AHP).Finally,100 clinical blood transfusion records were collected and evaluated to verify the rationality of the model.Results The evaluation index system was established according to four dimensions,including blood transfusion application process,blood transfusion document,blood transfusion evaluation and blood transfusion nursing.The weight of each index was determined.The evaluation result of the 100 records was consistant with the normal distribution.Conclusion This evaluation model can more scientifically and rationally evaluate the clinical blood transfusion records,and strengthen doctors'attention to clinical blood transfusion.In addition,the model can also supervise the clinical blood transfusion chain,improve haemovigilance system,and effectively reduce the occurrence of transfusion adverse events.