[1]张文一李帅张璇毛丽姚远.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(07):022-25.[doi:10.13912/j.cnki.chqm.2022.29.7.07 ]
　ZHANG Wenyi,LI Shuai,ZHANG Xuan.Construction and Application of VTE Standardized Prevention and Treatment Management System for Inpatients[J].Chinese Health Quality Management,2022,29(07):022-25.[doi:10.13912/j.cnki.chqm.2022.29.7.07 ]
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住院患者VTE标准化防治管理体系构建与应用
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《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

卷:
第29卷
期数:
2022年07期
页码:
022-25
栏目:
医疗质量
出版日期:
2022-07-28

文章信息/Info

Title:
Construction and Application of VTE Standardized Prevention and Treatment Management System for Inpatients
作者:
张文一李帅张璇毛丽姚远
解放军总医院医院管理研究所
Author(s):
ZHANG Wenyi; LI Shuai; ZHANG Xuan
Institute of Hospital Management, PLA General Hospital
关键词:
住院患者; 静脉血栓栓塞症; 标准化防治; 管理体系; 信息化
Keywords:
Inpatient;  Venous Thromboembolism;  Standardized Prevention and Treatment;  Management System;  Informatization
分类号:
R197.323；R543
DOI:
10.13912/j.cnki.chqm.2022.29.7.07
文献标志码:
B
摘要:
静脉血栓栓塞症（VTE）防治是一项系统工程。围绕评估表单、救治流程、防治标准、监控指标等，分析VTE防治指南，采集医院业务系统患者基础数据，结合专家咨询，探索构建包含制度体系、组织体系、防治体系、评价体系和指标体系的VTE标准化防治管理体系。应用后，VTE风险评估率提升了93.64个百分点，出血评估率提升了99.36个百分点，预防率提升了63.68个百分点，治疗率提升了19.58个百分点，并发症发生率降低了0.05个百分点，实现了全面评估、规范预防、准确诊断与合理治疗，有效降低了医疗风险，提升了医疗质量，确保了患者安全。
Abstract:
The prevention and treatment of Venous Thromboembolism（VTE） is a systematic project. Based on the evaluation form, treatment process, prevention and control standards, monitoring indicators and other aspects, the VTE prevention and control guidelines were analyzed. By collecting the basic data of patients in the hospital business system and combined with expert consultation, the construction of VTE standardized prevention and treatment management system was explored which included institutional system, organization system, prevention and treatment system, evaluation system and index system. After application, the risk assessment rate of VTE had increased by 93.64 percentage points, the bleeding assessment rate had increased by 99.36 percentage points, the prevention rate had increased by 63.68 percentage points, the treatment rate had increased by 19.58 percentage points, and the incidence of complications had decreased by 0.05 percentage points. It achieved comprehensive evaluation, standardized prevention, accurate diagnosis and reasonable treatment, which effectively reduce medical risks, improved medical quality and ensured patient safety.

参考文献/References:

［1］ORTEL TL, NEUMANN I, AGENO W, et al. American Society of Hematology 2020 guidelines for management of venous thromboembolism: treatment of deep vein thrombosis and pulmonary embolism［J］.Blood Advances, 2020, 4(19): 4693-4738. ［2］MEMBERS TF, KONSTANTINIDES SV, TORBICKI A, et al. 2014 ESC Guidelines on the diagnosis and management of acute pulmonary embolism: the task force for the diagnosis and management of acute pulmonary embolism of the European Society of Cardiology (ESC) endorsed by the European Respiratory Society (ERS)［J］.European Heart Journal，2014，35（43）：3033-3080. ［3］MAZZOLAI L, ABOYANS V, AGENO W, et al. Diagnosis and management of acute deep vein thrombosis: a joint consensus document from the European Society of Cardiology working groups of aorta and peripheral vascular diseases and pulmonary circulation and right ventricular function［J］.European Heart Journal，2018, 39（47）：4208-4218. ［4］CHAN TF, CHANG CE, CHEN TJ, et al. Clinical risk score for the prediction of incident atrial fibrillation: derivation in 7 220 654 Taiwan patients with 438 930 incident atrial fibrillations during a 16-year follow-up［J］.Journal of the American Heart Association, 2021, 10(17): 020194. ［5］龚 亮. 145 例创伤相关院外静脉血栓栓塞症的临床特点分析［D］.福州：福建医科大学, 2016. ［6］孙 湛,张 敏,秦 净,等.静脉血栓院内防治管理体系的中山模式［J］.中国卫生质量管理,2019,26(1):39-41.

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更新日期/Last Update: 2022-07-28