多模式质量改进项目减少医院外科手术期间发生的血栓栓塞事件 (患者安全指标-12)
Andrew Michael Peseski1, Christopher J Vail2, Maragatha Kuchibhatla3
1Department of Medicine, Duke University, Durham, North Carolina, USA.
BMJ open quality
|April 4, 2025
概括
一项质量改善计划成功降低了术后静脉血栓塞栓症 (VTE) 的发生率. 这种四个支柱的方法显著降低了VTE事件,改善了患者的安全和结果.
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
- 手术并发症 手术并发症
背景情况:
- 静脉血栓塞栓症 (VTE) 是一个重要的术后并发症.
- 患者安全指标 (PSI) -12追踪VTE以改善护理.
- 为了降低VTE率,制定了一项多方面的倡议.
研究的目的:
- 评估质量改善倡议对术后静脉瘤发病率的影响.
- 评估一个学术医疗中心的四支柱战略,以减少VTE.
主要方法:
- 一个由四个支柱组成的倡议:共识建设,电子健康记录集成,测量仪表板和案例审查.
- 在干预前 (2019年9月结束的12个月) 和干预后 (2021年12月结束的15个月) 收集的数据.
主要成果:
- 手术后静脉瘤发作率从2019年的0.695%下降到2021年的0.578%.
- 这意味着VTE事件减少了23%,这是临床和统计学上显著的差异 (p<0.0001).
结论:
- 这项由四个支柱构成的倡议有效地降低了手术后静脉瘤的发生率.
- 此外,这项干预措施还降低了医院费用和住院时间.
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