反凝血管理旨在弥合外科手术期间抗凝血管理的实施差距
Alfonso J Tafur1,2, Geoffrey D Barnes3, Vinai C Bhagirath4
1Department of Medicine, Vascular Medicine, NorthShore-Edward-Elmhurst Health, Evanston, Illinois, United States.
TH open : companion journal to thrombosis and haemostasis
|March 13, 2024
概括
不一致的护理方案增加了医疗保健成本,降低了患者的治疗结果. 这项研究强调了实施外科手术期间抗凝指南的挑战,并提出了抗凝管理单元作为改善患者护理的解决方案.
科学领域:
- 医疗保健管理的管理
- 临床实践指南 临床实践指南
- 患者安全 患者安全
背景情况:
- 缺乏一致的护理方案导致医疗保健成本上升,并导致患者的治疗结果低于最佳.
- 术后抗凝管理是复杂的临床挑战,因为需要多个专家的投入.
- 管理抗凝血中断的异质性源于分析指示,手术/麻醉风险和机构实践.
研究的目的:
- 为了应对实施外科手术期间抗凝药指南的挑战.
- 为了说明临床医生实施多样化的指导方针的问题.
- 提出抗凝固管理单元作为基于价值的护理的解决方案.
主要方法:
- 使用案例研究方法实用地说明问题.
- 讨论变革管理和实施科学的策略.
- 强调了抗凝血管理单位在准则采纳中的作用.
主要成果:
- 临床人员对术后抗凝指南的实施非常多样化,并且经常偏离证据.
- 抗凝血管理单位可以弥合落实高质量的指导方针的差距.
- 变革管理和实施科学战术可以促进准则的采用.
结论:
- 标准化术后抗凝管理对于改善患者的治疗结果和降低成本至关重要.
- 抗凝血管理单位提供了一个有希望的模式,以加强基于证据的指导方针的实施.
- 有效的变化管理策略对于在复杂的医疗保健环境中成功采用临床指南至关重要.
相关概念视频
Anticoagulant Drugs: Low-Molecular-Weight Heparins
692
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...
692
Antiplatelet Drugs: Prostaglandin Synthesis, P2Y12 and Glycoprotein IIb/IIIa Inhibitors
522
Antiplatelet drugs emerge as frontline defenders against the insidious threat of thromboembolic diseases, where abnormal clots obstruct vital blood vessels. These drugs stand as bulwarks, inhibiting platelet aggregation and clot formation, thereby mitigating the risk of life-threatening conditions like myocardial infarction, coronary artery disease, and thrombotic strokes.
Prostaglandin synthesis inhibitors, exemplified by the widely known aspirin, wield their power by irreversibly acetylating...
Prostaglandin synthesis inhibitors, exemplified by the widely known aspirin, wield their power by irreversibly acetylating...
522
Anticoagulant Drugs: Vitamin K Antagonists and Direct Oral Anticoagulants
1.2K
Oral anticoagulants are vital tools in preventing and treating blood clotting disorders. This diverse class of medications can be categorized as vitamin K antagonists, exemplified by warfarin, and direct thrombin inhibitors (DTIs), such as dabigatran, as well as factor Xa inhibitors, including rivaroxaban.
Warfarin, a prominent vitamin K antagonist family member, exerts its effect by inhibiting the enzyme VKORC1 (vitamin K epoxide reductase complex 1). By hindering this enzyme, warfarin...
Warfarin, a prominent vitamin K antagonist family member, exerts its effect by inhibiting the enzyme VKORC1 (vitamin K epoxide reductase complex 1). By hindering this enzyme, warfarin...
1.2K
Errors occurring during blood pressure monitoring
721
Blood pressure monitoring is a crucial clinical procedure in diagnosing and managing various cardiovascular conditions. Despite its significance, the accuracy of blood pressure measurements can be compromised by multiple factors, potentially leading to either falsely high or low readings. These inaccuracies are critical as they can significantly impact patient care. So, it is vital to understand these challenges deeply and adopt strategic approaches to minimize errors.
Several factors...
Several factors...
721
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
Esophageal Varices-II: Clinical Features and Management
66
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
66


