医院内静脉血栓栓塞瘤风险评估的可靠性:一项探索性横截面研究
Shasha Geng1,2, Yang Li1,2, Jianli Ge1,2
1Department of General Practice, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, People's Republic of China.
Journal of multidisciplinary healthcare
|June 7, 2023
概括
医生和护士对医院相关静脉血栓栓塞 (VTE) 风险的评估显示出相当一致. 需要标准化的培训和评估流程来改善VTE预防和治疗系统.
科学领域:
- 医学研究 医学研究
- 改善医疗保健质量 改善医疗保健质量
- 患者安全 患者安全
背景情况:
- 与医院相关的静脉血栓塞栓症 (VTE) 是住院患者可预防死亡的重要原因.
- 有效的VTE预防依赖于医疗专业人员准确的风险评估.
- 不一致的风险评估可能导致不理想的VTE预防.
研究的目的:
- 评估医生和护士之间的VTE风险评估的评估者之间的可靠性.
- 确定VTE风险评分差异的潜在原因.
- 为改善VTE预防协议的策略提供信息.
主要方法:
- 研究了上海东医院住院的897名患者.
- 在入院后24小时内收集了VTE风险评估得分和日常生活活动 (ADL) 得分.
- 科恩的卡帕统计被用来衡量医生和护士之间的互评审者协议.
主要成果:
- 在手术 (Kappa = 0.30) 和非手术 (Kappa = 0.35) 部门的医生和护士之间的VTE分数中观察到相当一致.
- 在外科部门发现了中度的协议 (Kappa = 0.50),而在非外科部门发现了公平的协议 (Kappa = 0.32).
- 特别是在评估非手术环境中的运动障碍时发现了相当的一致性 (Kappa = 0.31).
结论:
- 医生和护士在VTE风险评估中的相对一致性强调了需要改进的情况.
- 建议对医疗保健专业人员进行系统培训,以规范VTE风险评估.
- 制定统一的评估过程对于建立有效的VTE预防和治疗系统至关重要.
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