实施质量干预以提高对门诊静脉血栓塞栓症管理的信心
Anthony Yu1, Krista L Birkemeier1, J Rebecca Mills2
1Baylor Scott & White Health, 2401 S 31st St, Temple, TX, 76508, USA.
Cardiology and therapy
|May 21, 2024
概括
一个高质量的干预改善了急诊室提供者在家治疗静脉血栓塞栓症 (VTE) 的知识和信心. 然而,静脉瘤患者的门诊治疗率并没有显著增加,这表明需要进一步的策略.
科学领域:
- 紧急医疗 紧急医疗
- 心脏病学 心脏病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 指导方针建议在家治疗低风险的静脉血栓栓塞 (VTE),包括深静脉血栓塞 (DVT) 和肺栓塞 (PE).
- 尽管有建议,但很大一部分符合条件的VTE患者没有在家接受治疗.
- 在急诊室 (ED) 设置中,门诊VTE管理的障碍仍然存在.
研究的目的:
- 评估质量改善倡议对急诊室 (ED) 提供者在门诊VTE治疗方面的知识和信心的有效性.
- 识别阻碍在家进行VTE护理的障碍.
- 评估干预对VTE患者出院率的影响.
主要方法:
- 一个试点计划和随后的有针对性的教育质量干预措施在一个ED中实施.
- 在干预前和干预后使用提供者调查来衡量临床知识,信心和感知障碍.
- 分析了电子健康记录,以查找患者出院数据.
主要成果:
- 提供者调查显示,在质量干预后,临床知识和信心增加.
- 发现的一个主要障碍是缺乏足够的患者随访预约.
- 在干预后,VTE排放率略有,但在统计学上没有显著的增加 (从28.5%增加到29.9%).
结论:
- 质量干预成功地提高了提供者在管理门诊护理中VTE患者的知识和信心.
- 尽管有所改善,但该干预措施并没有导致VTE患者出院率的持续增加.
- 需要额外的策略来克服障碍,并提高门诊VTE治疗率.
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