增加静脉血栓栓塞的速度 化学预防使用电子医疗记录进行管理
Aaron B Pollock1, Kevin N Harrell1, M Victoria P Miles1
1Department of Surgery, University of Tennessee College of Medicine Chattanooga, Chattanooga, TN, USA.
Journal of pharmacy practice
|February 14, 2024
概括
电子病历 (EMR) 提示医疗和选择性手术患者的静脉血栓塞栓症 (VTE) 化学预防的遗漏剂量减少. 这项干预措施改善了静脉瘤预防的治疗率,突出了其提高患者安全的潜力.
科学领域:
- 医疗信息学 医疗信息学
- 药理学 药理学是指药理学的学科.
- 患者安全 患者安全
背景情况:
- 静脉血栓塞栓症 (VTE) 是入院患者可预防损害的重要原因.
- 药理学VTE预防是有效的,但由于管理方面的挑战,经常被扣留.
- 电子医疗记录 (EMR) 提示可以减轻遗漏的VTE预防剂量.
研究的目的:
- 评估EMR快速干预对VTE化疗预防的源头率的影响.
- 为了评估医疗与外科手术患者队列中的VTE预防管理的变化.
主要方法:
- 实施了EMR提示,要求在拒绝VTE化疗预防之前获得提供者的批准.
- 预干预队列 (2020-2021年8月) 与干预后队列 (2021-2022年8月) 进行了比较.
- 分析了静脉瘤化学预防抑制率,统计学意义为P < .01.
主要成果:
- 该研究审查了16,395名患者,其中81.7%接受了低分子量肝素.
- 手术患者 (4.2%) 和创伤/急性护理手术 (TACS) 患者 (6.6%) 的错过剂量增加.
- 医学患者 (3.1%) 和非TACS患者 (1.0%) 的错过剂量减少.
结论:
- EMR提示是一个低成本的干预措施,以增加VTE预防管理.
- 该干预措施有效地改善了医疗和选择性手术患者的静脉瘤预防率.
- 需要进一步分析,以解决在特定的外科手术子组中增加的扣留问题.
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