XU Laiyin 1 , SUN Qiqi 1 , WEN Limin 1 , TAN Bin 2 , SONG Wenjie 1 , YANG Xinxin 2 , LI He 3 , WANG Jun 1
  • 1. Office of the Director, West China School of Medicine/West China Hospital, Sichuan University, Chengdu 610041, P. R. China;
  • 2. Department of Transfusion Medicine, West China School of Medicine/West China Hospital, Sichuan University, Chengdu 610041, P. R. China;
  • 3. Department of Hematology, West China School of Medicine/West China Hospital, Sichuan University, Chengdu 610041, P. R. China;
WANG Jun, Email: wangjun@wchscu.cn
Performance assessment of tertiary public hospital; Clinical blood management; Performance evaluation system; Performance evaluation scheme of blood transfusion department
10.7507/1672-2531.202506077
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Objective  To evaluate the impact of the new performance evaluation system in H hospital on clinical rational blood use and provide a basis for optimizing medical resource management. Methods  This study employed a self-controlled before-after design to evaluate the effects of a blood management reform implemented in December 2023. The reform integrated key performance indicator (KPI) assessment with objectives and key results (OKR) methodology. Key interventions included enhancing the information system, strengthening clinical blood management quality control, and promoting alternative therapeutic techniques. Clinical blood utilization data were collected for one year both before and after the reform implementation. The impact of the reform was rigorously assessed using interrupted time series analysis (ITSA). Results  A total of 1 032 clinical blood transfusion records were collected from 2023 to 2024, with 977 ultimately included in the analysis. In 2024, the qualified rate of hemoglobin of patients receiving red blood cell suspension transfusions in the whole hospital increased from 67.46% to 76.38%, and the per capita consumption of red blood cell suspension decreased by 11.36% year on year. The number of blood transfusion cases in surgical departments decreased by 26.60%, and that in non-surgical specialist departments decreased by 7.53%. The multi factor model showed that the improvement of the qualified rate in non-surgical departments and the main internal medicine subgroups was statistically significant. Conclusion  The new performance evaluation system significantly improves the level of rational blood use and reduces resource waste through mechanism optimization and incentive coordination, providing a reference model for blood management reform in medical institutions.

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