医院获得了静脉血栓栓塞:预防性评估
Maureen A Smythe1,2, John M Koerber1,2, Amanda Roberts1,3
1Corewell Health William Beaumont University Hospital, Royal Oak, MI, USA.
Hospital pharmacy
|March 7, 2024
概括
在医院获得的静脉血栓塞栓症 (HA-VTE) 病例中,有40%可能是可以预防的. 错过的剂量,通常是由于患者拒绝,是导致HA-VTE的主要因素.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 患者安全 患者安全
- 血栓形成研究研究
背景情况:
- 美国心脏协会的目标是到2030年将医院获得的静脉血栓栓塞 (HA-VTE) 减少20%.
- 质量改善工作越来越多地针对可能可预防的HA-VTE.
- 这项研究确定了潜在可预防的HA-VTE事件的比例.
研究的目的:
- 量化在医院获得的静脉血栓塞栓症 (HA-VTE) 事件中潜在可预防的比例.
- 确定有助于预防HA-VTE的关键因素.
主要方法:
- 追溯性,单中心试点研究,涉及50名HA-VTE患者.
- 确定七个可预防性因素,重点关注VTE预防的处方和管理.
- 使用标准化数据收集表格来提取数据的系统图表审查.
主要成果:
- 可能可以预防的HA-VTE发生在40%的病例中.
- 在29.8%的患者中,观察到错过的静脉瘤预防剂量,在71%的患者中引用了患者拒绝.
- 预防开始的延迟发生在12.7%的患者中,而60%的机械预防患者表现出不坚持.
结论:
- 在医院获得的VTE病例中,有40%被认为是可以预防的.
- 遗漏的VTE预防剂量是最常见的可预防性因素.
- 患者拒绝是遗漏VTE预防剂量的主要原因,突出了干预的关键领域.
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