由于VTE-使用医院数据来改善VTE预防的合规性:质量改进项目的再入院的分析:
Muzamil Hamid Hussain1, Shihyeon Kim1, Adnan Ali Khan2
1Medical College, Aga Khan University, Karachi, Pakistan.
概括
静脉血栓塞栓症 (VTE) 再接收很常见,许多病例发生在30天内. 高风险患者的不充分的血栓预防有助于这些可预防的事件.
科学领域:
- 医学研究 医学研究
- 临床结果 临床结果
- 患者安全 患者安全
背景情况:
- 静脉血栓栓塞 (VTE) 是患者死亡率和发病率的重要原因,但是可以预防的.
- 不适当地使用血栓预防是医疗保健机构中公认的问题.
研究的目的:
- 追溯分析患者病历,以确定VTE重复病例在初级入院后的六个月内.
- 评估在高风险的静脉动脉突发症患者中提供血栓预防的情况,这些患者随后被重新录取.
主要方法:
- 在2018年8月至2019年8月期间,对360例患有静脉瘤的医院遭遇进行了回顾性分析.
- 在首次住院后180天内,鉴定深静脉血栓症 (DVT) 再入院病例.
- 对VTE重入院的患者进行血栓预防的评估.
主要成果:
- 在VTE遭遇的16% (57) 是在180天内重新接受DVT.
- 其中44%的 readmissions 发生在放免后的前30天内.
- 61% (35) 的再入院VTE患者在初级入院期间没有接受血栓预防治疗.
结论:
- 由于VTE引起的重入院病例发生率很高.
- 不一致的血栓预防方案的应用有助于VTE再录取.
- 更严格地遵守VTE预防协议和风险分层可能会降低再接收率和相关的不良结果.
相关概念视频
Venous Thrombosis III: Interprofessional Care
11
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
11
Healthcare Associated Infections II: Preventive Measures
2.7K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.7K
Pulmonary Embolism III: Nursing Management
16
A pulmonary embolism occurs when a thrombus, amniotic fluid, tumor tissue, fat, or air embolus blocks one or more pulmonary arteries. Effective nursing management and patient education are crucial for improving outcomes and preventing recurrence.Nursing management starts with obtaining a comprehensive patient history, particularly noting any history of deep vein thrombosis (DVT). Assess for clinical manifestations, including dyspnea, chest pain, crackles, heart murmurs, and signs of right-sided...
16
Venous Thrombosis IV: Nursing Management
15
Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
15
Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
14
Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
14
Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies
16
The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
16


