实施以患者为中心的教育包,以改善静脉血栓栓塞的预防
Elliott R Haut1,2,3,4,5, Oluwafemi P Owodunni6, Dauryne L Shaffer1,7
1Department of Surgery, The Johns Hopkins University School of Medicine, Baltimore, Maryland.
JAMA surgery
|October 8, 2025
概括
实施护士和患者教育策略显著减少了社区医院静脉血栓塞栓症 (VTE) 预防的错过剂量. 这种方法改善了VTE预防的管理和接受,证明了干预措施的可扩展性.
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
- 药理干预措施 药理干预
背景情况:
- 静脉血栓栓塞 (VTE) 是可预防的医院伤害的主要原因.
- 尽管基于证据的预防,但由于拒绝或其他原因错过剂量仍然是一个挑战.
- 在学术环境中成功的干预措施需要对社区医院实施进行评估.
研究的目的:
- 在社区医院环境中实施和评估一项减少遗漏VTE预防剂量的策略.
- 评估结合护士和患者教育的综合方法的有效性.
主要方法:
- 在社区医院进行了一项前性队列研究.
- 实施了一项涉及动态护士教育和以患者为中心的警报的干预措施.
- 从接受VTE预防的住院成年患者中收集了干预前后的数据.
主要成果:
- 在干预后,错过的VTE预防剂量从12.9%降至9.3%.
- 由于患者拒绝和其他原因而错过的剂量有显著的减少.
- 期间之间在VTE发病率上没有发现显著差异.
结论:
- 参与护士教育和及时的患者教育有效地改善了VTE预防的管理和接受.
- 这项研究表明,学术医院的成功干预措施可以在社区医院广泛实施.
- 这些发现支持基于证据的策略的可扩展性,以提高患者安全并减少可预防的伤害.
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