[1]程金焱沈慧陈晓虹.提高骨科大手术患者深静脉血栓预防措施落实率[J].中国卫生质量管理,2018,25(03):58-61.[doi:10.13912/j.cnki.chqm.2018.25.3.19]

点击复制

提高骨科大手术患者深静脉血栓预防措施落实率

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 第25卷期数: 2018年03期页码: 58-61 栏目: QC小组平台出版日期: 2018-03-28

作者:: 程金焱沈慧陈晓虹; 海口市人民医院

关键词:: 骨科; 大手术; 深静脉血栓; 预防措施

Keywords:: Orthopedics; Major Surgery; Deep Vein Thrombosis; Preventive Measures

DOI:: 10.13912/j.cnki.chqm.2018.25.3.19

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。

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.

参考文献/References:

［1］Harris P, Nagy S, Vardaxis NJ, et al. Mosby's Dictionary of Medi cine,Nursing & Health Professions［M］.7th ed. St. Louis, MO:Mosby, 2006：115-116, 335, 520, 1454, 1849, 1949.

相似文献/References:

[1]史芳张毛影马静媛黄崇亚高建辉顾珊智.骨科医疗损害司法鉴定案例分析探究[J].中国卫生质量管理,2018,25(04):85.[doi:10.13912/j.cnki.chqm.2018.25.4.27]
[2]罗莉殷佳魏伟狄建忠.公立医院优势学科病种绩效管理研究：以骨科为例[J].中国卫生质量管理,2021,28(07):48.[doi:10.13912/j.cnki.chqm.2021.28.7.13 ]
　LUO Li,YIN Jia,WEI Wei.Performance Management of Diseases in Dominant Disciplines in Public Hospitals: Taking Orthopedics Department as an Example[J].Chinese Health Quality Management,2021,28(03):48.[doi:10.13912/j.cnki.chqm.2021.28.7.13 ]
[3]殷佳罗莉汪盛凯魏伟狄建忠.公立医院病种经济绩效评价方法探究：以上海某院骨科为例[J].中国卫生质量管理,2021,28(08):39.[doi:10.13912/j.cnki.chqm.2021.28.8.11 ]
　YIN Jia,LUO Li,WANG Shengkai.Economic Performance Evaluation Method of Diseases in Public Hospitals:Taking the Department of Orthopedics of a Hospital in Shanghai as an Example[J].Chinese Health Quality Management,2021,28(03):39.[doi:10.13912/j.cnki.chqm.2021.28.8.11 ]
[4]吴波陈红余云红刘静黄丽红李晓丹.降低骨科俯卧位手术患者术中获得性压力性损伤发生率[J].中国卫生质量管理,2022,29(05):74.[doi:10.13912/j.cnki.chqm.2022.29.5.19 ]
　WU Bo,CHEN Hong,YU Yunhong.Reducing the Incidence of Intraoperatively Acquired Pressure Injury in Patients Undergoing Orthopedic Prone Surgery[J].Chinese Health Quality Management,2022,29(03):74.[doi:10.13912/j.cnki.chqm.2022.29.5.19 ]
[5]南星羽马靓李海红.骨科围手术期患者静脉血栓栓塞症物理预防的最佳证据总结[J].中国卫生质量管理,2022,29(08):72.[doi:10.13912/j.cnki.chqm.2022.29.8.17 ]
　NAN Xingyu,MA Liang,LI Haihong.Summary of the Best Evidence for Physical Prevention of Venous Thromboembolism in Perioperative Orthopedic Patients[J].Chinese Health Quality Management,2022,29(03):72.[doi:10.13912/j.cnki.chqm.2022.29.8.17 ]
[6]林苡竹金杰王晖丁辉蓉余松轩刘雅娟.资源整合型加速康复外科管理体系构建与应用[J].中国卫生质量管理,2023,30(12):24.[doi:10.13912/j.cnki.chqm.2023.30.12.06 ]
　LIN Yizhu,JIN Jie,WANG Hui.Construction and Application of Management System of Resource Integrated Enhanced Recovery After Surgery[J].Chinese Health Quality Management,2023,30(03):24.[doi:10.13912/j.cnki.chqm.2023.30.12.06 ]
[7]陈戈军戴传强周虹宇王晨陈欢.基于蒙特卡洛模拟验证的骨科日间手术ERAS模式的成本效益分析[J].中国卫生质量管理,2025,32(10):41.[doi:10.13912/j.cnki.chqm.2025.32.10.09]
　CHEN Gejun,DAI Chuanqiang,ZHOU Hongyu.Cost-Effectiveness Analysis of the ERAS Model in Orthopedic Day Surgery Based on the Validation of Monte Carlo Simulation[J].Chinese Health Quality Management,2025,32(03):41.[doi:10.13912/j.cnki.chqm.2025.32.10.09]

更新日期/Last Update: 2018-03-28