改善儿科瘤患者的抗凝护理:质量改善倡议
Vilmarie Rodriguez1,2, Brockton S Mitchell1, Joseph Stanek1,3
1From the Division of Hematology/Oncology/BMT, Nationwide Children's Hospital, Columbus, Ohio.
Pediatric quality & safety
|February 12, 2024
概括
质量改善举措成功地增加了血液学咨询和抗凝固治疗计划文件,用于高风险的静脉血栓栓塞的儿科癌症患者. 这些改善是持续的,观察到类似的出血和血栓形成率.
科学领域:
- 儿科血液学 儿科血液学
- 在瘤学瘤学.
- 提高质量 提高科学 提高质量
背景情况:
- 儿童癌症患者面临着静脉血栓栓塞 (VTE) 的高风险.
- 这种人群中关键的静脉瘤风险因素包括中央静脉导管,恶性瘤质量效应,化疗和手术.
- 管理抗凝血是复杂的,因为血小板缺血,侵入性手术,和凝血病.
研究的目的:
- 加强对患有静脉瘤的儿童癌症患者的血液学咨询服务.
- 改进针对这个高风险群体的个性化抗凝治疗计划的文档.
主要方法:
- 一个多学科团队使用了质量改进 (QI) 方法,包括利益相关者采访和专家共识.
- 实施了一种计划-做-研究-行动 (PDSA) 模型,以改善咨询访问和护理计划文件.
- 过程措施集中在咨询率和护理计划文件上;结果措施包括出血和血栓形成事件.
主要成果:
- 基线数据显示,53%的患者接受了血液学咨询,43.8%的患者有记录的抗凝治疗计划.
- 实施后的QI,100%的患者接受了血液学咨询和记录的护理计划,持续一年.
- 出血和血栓复发/进展率在基线和后QI队列之间仍然可比.
结论:
- QI干预有效地改善了血液学咨询的持续获得.
- QI倡议显著提高了对患有静脉血栓炎的儿童癌症患者个性化抗凝治疗计划的文档.
相关概念视频
Anticoagulant Drugs: Low-Molecular-Weight Heparins
698
Hemostasis is a crucial process that prevents excessive blood loss from damaged blood vessels. It involves various mechanisms such as vasoconstriction, platelet adhesion and activation, and fibrin formation. The importance of each mechanism depends on the type of vessel injury. In contrast, thrombosis is the abnormal formation of a blood clot within the blood vessels, leading to potential complications if the clot obstructs blood flow. Thrombosis can be caused by increased coagulability of the...
698
Healthcare Associated Infections II: Preventive Measures
2.6K
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...
2.6K


