[논문]국내 1차 수혈 적정성 평가 시행에 따른 수혈서비스 질관리 현황

권진아; 조은정; 정아현; 김동숙

doi:10.14371/qih.2022.28.2.30

국내 1차 수혈 적정성 평가 시행에 따른 수혈서비스 질관리 현황
Assessing the Quality for Blood Transfusion Service since the 1st National Quality Assessment Program in South Korea 원문보기

Quality improvement in health care : QIH = 한국의료질향상학회지, v.28 no.2, 2022년, pp.30 - 38

권진아 (건강보험심사평가원 평가실 평가2부) , 조은정 (건강보험심사평가원 평가실 평가2부) , 정아현 (건강보험심사평가원 평가실 평가2부) , 김동숙 (건강보험심사평가원 평가실 평가2부)

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Purpose: The Health Insurance Review and Assessment Service (HIRA) in South Korea initiated a quality assessment (QA) program for blood transfusion healthcare services in 2020 to ensure patient safety and appropriate blood use. This study examines the quality of blood transfusion services since the first national QA program for blood transfusion services in Korea. Methods: We analyzed HIRA claims and QA investigation data based on inpatient medical records from all tertiary, general, and primary hospitals between October 2020 and March 2021. The target population was patients aged 18 years and older who received either total knee arthroplasty or red blood cell transfusion. The QA indicators for transfusion healthcare service consisted of four quality indicators and four monitoring indicators. Results: We analyzed the results of QA indicators for transfusion service from the medical records of 189,668 patients from 1,171hospitals and expressed indicators as proportions. The average results for evaluation indicators were as follows: transfusion checklist presence, 64.8%; irregular antibody tests, 61.8%; transfusions in which the hemoglobin levels before transfusion met the transfusion guidelines for patients undergoing total knee arthroplasty, 20.6%, and transfusions in patients undergoing total knee arthroplasty, 59.3%. The average results for monitoring indicators were as follows: transfusion management implementation in medical institutions, 56.9%; preoperative anemia management in anemia patients undergoing total knee arthroplasty, 43.9%; one-unit transfusions, 82.5%; and the transfusion index. Conclusion: The quality of blood transfusion healthcare varied and the assessment revealed that there is scope for improvement. Hospitals require more effective blood transfusion management and this can be facilitated by providing feedback on the QA results about blood transfusion healthcare services to medical institutions, and by disclosing the results to the public.

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참고문헌 (11)

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국내 1차 수혈 적정성 평가 시행에 따른 수혈서비스 질관리 현황
Assessing the Quality for Blood Transfusion Service since the 1st National Quality Assessment Program in South Korea 원문보기

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국내 1차 수혈 적정성 평가 시행에 따른 수혈서비스 질관리 현황 Assessing the Quality for Blood Transfusion Service since the 1st National Quality Assessment Program in South Korea 원문보기

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국내 1차 수혈 적정성 평가 시행에 따른 수혈서비스 질관리 현황
Assessing the Quality for Blood Transfusion Service since the 1st National Quality Assessment Program in South Korea 원문보기