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静脈血栓塞栓症品質測定は品質を正確に測定できない

Brandyn D Lau^1,2,3,4, Michael B Streiff^3,5,6, Peter J Pronovost^3,7,4

¹Russell H. Morgan Department of Radiology and Radiological Science (B.D.L.) blau2@jhmi.edu.

|March 21, 2018

まとめ

現在の病院の品質測定では,静脈血栓塞栓症 (VTE) の予防を適切に評価できていません. リスク評価,予防処方,患者の安全性を高めるための投与を含む,欠陥のないVTE予防を評価するための新しい項目が提案されています.

科学分野:

医療の質の向上
患者の安全
トロンボシス研究

背景:

静脈血栓塞栓症 (VTE) は,病院での予防可能な傷害の主な原因です.
多くの医療機関では発症率と害を減らすために静脈動脈炎の評価を優先しています
現在実施されている品質対策は,VTE予防の複雑さを十分に捉えていません.

研究の目的:

欠陥のない静脈血栓塞栓症 (VTE) の予防を評価するための表を作成する.
既存のVTE品質対策の適切性を評価する.
VTEの予防のための理想的なプロセスと成果を定義する.

主な方法:

欠陥のないVTE予防のためのルールの開発
組織的なVTEの品質基準の分類
有効なVTE予防の多因子の分析

主要な成果:

現存するVTEの品質測定は,予防の取り組みと成果を不十分に特徴づけている.
効果的なVTE予防には総合的なリスク評価,処方,投与が必要です.
理想的なプロセスには,文書化されたリスク評価,適切な予防処方,および処方された予防投与が含まれます.

結論:

現在のVTEの品質測定は,包括的な評価には不十分です.
患者の安全性を高めるために,欠陥のないVTE予防ラブリックが必要です.
プロセスの故障に基づいて,潜在的に予防可能なVTEを定義することは,結果の測定に不可欠です.

キーワード:

医療の質,アクセス,評価医療情報技術品質の向上医療の質に関する指標医療の質について静脈血栓塞栓症

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