】——程金焱 沈慧 陈晓虹
【摘要】骨科大手术患者深静脉血栓预防措施落实率低，原因分析显示，无DVT风险评估工具，无预防DVT质控标准，无质控员考评办法，医生没有下达医嘱等为主要原因。对此，从工具、标准、办法、医嘱4方面改进，使骨科大手术患者深静脉血栓预防措施落实率从39.29%提高至89.86%，规范了骨科大手术患者DVT预防管理，达到了质量持续改进目的。
【关键词】骨科；大手术；深静脉血栓；预防措施
Improving the Implementation Rate of Preventive Measures for Deep Venous Thrombosis in Major Orthopedic Surgery/CHENG Jinyan,SHEN Hui,CHEN Xiaohong.//Chinese Health Quality Management，2018,25(3):58-61
Abstract The implementation rate of preventive measures for deep vein thrombosis (DVT) in patients with major orthopedic surgery was low. The main reasons included no DVT risk assessment tool, no DVT quality control standards, no quality control staff assessment measure, and no doctor's advice. In this regard, improvements were made from four aspects of tools, standards, methods, and doctor's advice, which increased the implementation rate of preventive measures for DVT in major orthopedic surgery from 39.29% to 89.86%. The management of DVT prevention in major orthopedic surgery patients had been standardized, which achieved the purpose of continuous quality improvement.
Key words Orthopedics; Major Surgery; Deep Vein Thrombosis; Preventive Measures
Firstauthor's address Haikou People's Hospital, Central South University Xiangya School of Medicine Affiliated Haikou Hospital, Haikou, Hainan,570208, China 
