[1]姚远毛丽张璇张文一刘月辉.大型综合医院《住院患者深静脉血栓栓塞症》防治团体标准推广应用研究[J].中国卫生质量管理,2024,31(02):010-13.[doi:10.13912/j.cnki.chqm.2024.31.2.03]
　YAO Yuan,MAO Li,ZHANG Xuan.Research on the Promotion and Application of Group Standard for the Prevention and Treatment of "Deep Vein Thrombosis and Pulmonary Embolism in Hospitalized Patients" in a Large General Hospital[J].Chinese Health Quality Management,2024,31(02):010-13.[doi:10.13912/j.cnki.chqm.2024.31.2.03]
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大型综合医院《住院患者深静脉血栓栓塞症》防治团体标准推广应用研究()
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《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

卷:
第31卷
期数:
2024年02期
页码:
010-13
栏目:
特别关注
出版日期:
2024-02-15

文章信息/Info

Title:
Research on the Promotion and Application of Group Standard for the Prevention and Treatment of "Deep Vein Thrombosis and Pulmonary Embolism in Hospitalized Patients" in a Large General Hospital
作者:
姚远毛丽张璇张文一刘月辉
中国人民解放军总医院医学创新研究部
Author(s):
YAO Yuan; MAO Li; ZHANG Xuan
General Hospital of Chinese People’s Liberation Army
关键词:
团体标准; VTE; 标准应用
Keywords:
Group Standards; Venous Thromboembolism; Standard Application
分类号:
R197.3；R543.6
DOI:
10.13912/j.cnki.chqm.2024.31.2.03
文献标志码:
B
摘要:
目的探讨《中国医院质量安全管理》团体标准 “第2-25部分 患者服务：住院患者深静脉血栓栓塞症防治”标准（简称VTE）在某大型综合医院的宣贯和应用。方法结合中国医院协会VTE标准，通过标准实施设计、试点遴选、标准实施、评价改进四个阶段，找出存在问题并提出改进建议。结果通过TOPSIS法对试点单位和非试点单位进行比较分析，发现试点单位VTE综合防治质量远高于非试点单位。结论应用VTE团体标准可有效提高VTE防治能力，规范VTE诊疗操作流程，减少VTE误诊、漏诊和死亡发生，保障患者安全，可为同类医院提供借鉴。
Abstract:
ObjectiveTo promote and apply the "Part 2-25 Patient Services:Prevention and Treatment of Deep Venous Thrombosis in inpatients" of "Chinese Hospital Quality and Safety Management" group standards in a large general hospital.MethodsAccording to the VTE standard of Chinese Hospital Association, the problems were found out through four stages of standard implementation design, pilot selection, standard implementation, evaluation and improvement, and suggestions for improvement were put forward.ResultsTOPSIS method was used to compare the control quality of VTE in pilot units and non-pilot units. It was found that the quality of VTE in pilot units was much higher than that in non-pilot units. Conclusion The application of VTE group standard can effectively improve the prevention and treatment ability of VTE, standardize the operation process of diagnosis and treatment of VTE, reduce the occurrence of misdiagnosis, missed diagnosis and death of VTE, and ensure the safety of patients, which can provide reference for similar hospitals.

参考文献/References:

［1］CUSHMAN M, CREAGER MA. Improving awareness and outcomes related to venous thromboembolism［J］.JAMA, 2015,314(18): 1913-1914.［2］MOZAFFARIAN D, BENJAMIN EJ, GO AS, et al. Heart disease and stroke statistics—2015 update: a report from the American Heart Association［J］.Circulation, 2015, 131(4): e29-e322.［3］HEIT JA, SILVERSTEIN MD, MOHR DN, et al. Predictors of survival after deep vein thrombosis and pulmonary embolism: a population-based, cohort study［J］.Archives of Internal Medicine, 1999, 159(5): 445-453.［4］中国医院协会. 中国医院质量安全管理—第2-24部分：患者服务—住院患者静脉血栓栓塞症防治: T/CHAS 10-2-24-2018［S］.2018-09-20.［5］张文一, 李帅, 张璇,等. 住院患者VTE标准化防治管理体系构建与应用［J］.中国卫生质量管理, 2022, 29(7): 22-25，31.［6］PARASURAMAN A, ZEITHAML VA, BERRY LL. A conceptual model of service quality and its implications for future research［J］.Journal of Marketing, 1985, 49(4): 41-50.［7］SETYAWAN FEB, SUPRIYANTO S, TUNJUNGSARI F, et al. Medical staff services quality to patients satisfaction based on SERVQUAL dimensions［J］.International Journal of Public Health Science, 2019, 8(1): 51-57.［8］全国肺栓塞和深静脉血栓形成防治能力建设项目专家委员会《医院内静脉血栓栓塞症防治质量评价与管理指南(2022版)》编写专家组,翟振国,王辰，等.医院内静脉血栓栓塞症防治质量评价与管理指南(2022版)［J］.中华医学杂志,2022,102(42):3338-3348.

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更新日期/Last Update: 2024-02-15