Abstract: Objective: To analyze the problems of clinical transfusion medical records,explore by strengthening blood transfusion medical records management to promote the standardization of clinical transfusion,improve clinical transfusion safety,and prevent medical disputes caused by blood transfusion.Method: "Clinical blood transfusion technical specifications"and"Medical institution clinical blood management approach"were used as the main basis for the study.6 to 10 cases were randomly selected from the medical and surgical operation records weekly,the transfusion-related instruments,blood transfusion medical advice,transfusion indications,nursing transfusion order executive and adverse transfusion reactions in the medical records were checked and live feedback.Sampling results would be reported monthly,and put forward rectification opinions.Result: 458 hospitalized patients with transfusion records were randomly selected from March 2012 to February 2013,including 265 surgical records(57.86%)and 193 medical records(42.14%).Among them,159 medical records had defective parts(32.78%),123 surgery (77.36%) was significantly higher than internal medicine(36,22.64%).The defects of patient transfusion informed consent and transfusion progress notes were most common.Conclusion: Some clinicians have insufficient understanding on the importance of the quality of transfusion medical records.It should be note that by standardizing and normalizing transfusion medical records to enhance the check,analysis and improvement of the quality of clinical transfusion medical records,enhance staff awareness of clinical transfusion risk,and improve clinical transfusion safety and rationality,so as to proactive prevent transfusion medical disputes.