静脉血栓栓塞风险评估和预防:一个基于审计的研究
Asfia N Akhtar1,2, Faizan Hameed2, Susan O'Shea3
1Respiratory Medicine, University Hospital Waterford, Waterford, IRL.
Cureus
|September 9, 2025
概括
在执行协议和员工教育后,静脉血栓塞栓症 (VTE) 预防的遵守情况显著改善. 然而,一些高风险患者仍然错过了必要的预防性治疗,这凸显了持续警的必要性.
科学领域:
- 临床医学 临床医学
- 医疗保健管理的管理
- 患者安全 患者安全
背景情况:
- 静脉血栓塞栓症 (VTE),包括深静脉血栓症 (DVT) 和肺栓塞 (PE),是可预防的医院获得死亡的主要原因.
- 2024年初的数据显示,科克邦塞科尔医院的VTE预防方案的遵守率低于最佳.
研究的目的:
- 评估实施VTE风险评估和预防策略的有效性.
- 评估遵守国家卫生和护理卓越研究所 (NICE) 在成人住院患者中预防VTE的指导方针.
主要方法:
- 这项研究涉及127名成年住院患者,他们在9个病房中面临风险增加的VTE.
- 风险评估包括年龄 (≥60),重大手术,并发病 (癌症,高血压,糖尿病等). ) 和出血的危险因素.
- 数据分析的重点是符合NICE指南的风险评估准确性,完整性和预防处方.
主要成果:
- 在VTE风险评估完成率达到87.39% (111/127),其中79.52% (101/127) 在24小时内完成.
- 超过80%的患者至少有一种VTE风险因素,主要是晚年和并发症.
- 尽管确定高风险,但17.32% (22/127) 的患者没有接受任何VTE预防.
结论:
- 强制执行VTE预防方案和多学科教育显著提高了预防工作.
- 电子健康记录系统中的实时提示可以改善及时的预防药物管理.
- 需要持续努力,以确保所有高风险患者获得适当的VTE预防.
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