评估患者血液管理标准实施的潜在指标
Andrea Kazamer1,2, Radu Ilinca3, Stefan Vesa2
1CREST Association, 48 Alexandru Odobescu Street, 440069 Satu Mare, Romania.
Healthcare (Basel, Switzerland)
|August 26, 2023
概括
在患者血液管理 (PBM) 中实施安全指数改善了贫血手术患者的过程. 该指数有助于确定提高PBM有效性和患者护理效率的机会.
科学领域:
- 麻醉学和外科手术期间的医学.
- 血液学 血液学 血液学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 患者血液管理 (PBM) 对贫血手术患者至关重要,旨在减少输血并改善结果.
- 有效的PBM实施需要强大的指标,而不仅仅是记录的成功.
- 在医院层面优化PBM需要标准化的评估工具.
研究的目的:
- 定义PBM中复合安全指数 (SIPBM),以测量PBM过程的影响.
- 评估PBM在选择性手术患者中的效率和有效性.
- 评估查和手术前治疗贫血患者的影响.
主要方法:
- 在第三级医院进行了回顾性比较研究.
- 在选择性手术患者中分析PBM (SIPBM) 的安全指数.
- 在两个不同的时期 (2019年和2022年) 收集数据并进行比较.
主要成果:
- 术前铁治疗吸收率从27.40% (2019年) 增加到36.71% (2022年).
- 中位数SIPBM仍然为1.00,但显示了有利于2022年的显著改善 (p < 0.005).
- 证明了PBM干预措施对患者护理过程的可衡量的影响.
结论:
- SIPBM是衡量PBM实施效率的有效工具.
- 通过SIPBM的持续反有助于识别PBM流程改进机会.
- 这项研究为开发测量PBM安全性和外科手术影响的工具建立了基线.
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