静脉血栓塞栓症 (VTE) 临床审计风险评估和在外科实践中遵守指南
Mohand Tag Elsser Mohammed Albadwy1, Abubaker Osman Mohammed Ibrahim2, Bishoy Alfred William Dawis3
1Surgery, National University - Sudan, Khartoum, SDN.
Cureus
|November 3, 2025
概括
结构化的干预措施在资源有限的医院显著改善了静脉血栓栓塞 (VTE) 的预防. 关键的改进包括风险评估,预防和患者教育,证明了VTE护理的可行模型.
科学领域:
- 医学审计 医学审计
- 公共卫生 公共卫生
- 手术护理 手术护理
背景情况:
- 静脉血栓栓塞 (VTE) 是外科住院并发症的一个主要可预防的原因.
- 遵守VTE风险评估和预防措施往往是不理想的,特别是在资源有限的环境中.
- 这项研究解决了在这样的环境中改善VTE预防策略的需要.
研究的目的:
- 在资源有限的外科环境中评估和加强VTE预防实践.
- 评估结构化干预措施对VTE风险评估和预防的影响.
- 为特定的低资源环境适应国际VTE指导方针.
主要方法:
- 一个闭环审计,涉及两个周期的患者评估 (n=49,然后n=53).
- 实施有针对性的干预措施:员工教育,标准化文档,视觉提醒和电子提示.
- 评估结果,包括完成风险评估,预防的适当性和患者教育.
主要成果:
- 卡普里尼分数计算从91.8%提高到100%.
- 预防持续时间的记录显著增加 (44.9%至90.6%).
- 与指导方针一致的管理计划从46.9%上升到84.9%,患者教育从28.6%提高到81.1%.
结论:
- 低成本,多方面的干预措施有效地加强了苏丹一家医院的静脉瘤预防.
- 该研究提供了一个可行的,情境敏感的模型,用于在类似的低资源环境中预防VTE.
- 持续的改进需要标准化工具,持续的教育和定期的审计.
关键词:
卡普里尼得分 卡普里尼得分临床审计 临床审计准则的坚持 准则的坚持患者教育 患者教育质量改善 质量改善风险评估 风险评估 风险评估外科室的住院患者.进行血栓预防治疗.静脉血栓塞栓症是一种静脉血栓塞栓.在VTE预防中使用预防药物.更多相关视频
相关概念视频
Venous Thrombosis III: Interprofessional Care
273
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
273
Venous Thrombosis IV: Nursing Management
191
Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
191
Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies
282
The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
282
Peripheral Artery Disease V: Postoperative Nursing Management
365
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
365
Varicose Veins II: Diagnostic Studies and Interprofessional Care
178
Varicose veins, or varicosities, develop when the valves in the veins, which control blood flow, weaken or damage. It causes blood to pool and the veins to enlarge. Understanding the clinical manifestations, diagnostic approaches, and management options for varicose veins is crucial for effective treatment and relief.Clinical manifestationsClinical manifestations of varicose veins include a heavy, achy feeling or pain after prolonged standing or sitting. This discomfort can often be relieved by...
178
Venous Thrombosis I: Introduction
335
Venous thrombosis, the most common disorder of the veins, involves the formation of a thrombus or blood clot associated with vein inflammation. It can be classified as either superficial vein thrombosis or deep vein thrombosis.Superficial Vein Thrombosis: This involves the formation of a thrombus in a superficial vein, usually the greater or lesser saphenous vein. Though less severe than deep vein thrombosis (DVT), SVT can lead to complications if untreated.Deep Vein Thrombosis (DVT): This...
335


