在接受选择性手术的患者中实施C型肝炎感染的护理级联警报系统
Jae Seung Lee1, Ho Soo Chun2, Hye Won Lee1
1Department of Internal Medicine, Yonsei University College of Medicine, Seoul, South Korea; Institute of Gastroenterology, Yonsei University College of Medicine, Seoul, South Korea; Yonsei Liver Center, Severance Hospital, Seoul, South Korea.
Journal of infection and public health
|December 10, 2025
概括
基于电子病历 (EMR) 的警报系统显著提高了手术患者的C型肝炎病毒 (HCV) 查率. 然而,该系统并没有改善与护理的联系,强调需要采取主动策略来完成HCV护理级联.
科学领域:
- 医疗信息学 医疗信息学
- 肝病学 肝病学是一种肝病学.
- 手术护理 手术护理
背景情况:
- 对型肝炎病毒 (HCV) 的有限认识阻碍了护理级联,特别是在接受选择性手术的患者中.
- 基于电子病历 (EMR) 的自动预警系统于2021年实施,以改善外科医疗保健提供者对HCV查和转诊意识.
研究的目的:
- 评估基于EMR的自动预警系统在提高接受选择性手术的患者的HCV查和转诊率方面的有效性.
- 确定与手术患者中HCV护理级联中链接失败相关的因素.
主要方法:
- 该研究引入了基于EMR的警报系统,以提醒选择性手术患者进行手术前HCV抗体测试.
- 该系统建议在出院后对具有阳性HCV抗体测试的患者进行肝脏病学咨询.
主要成果:
- 查HCV率显著增加,从82.8% (2016-2020年) 增加到96.8% (实施后) (P < 0.001).
- 尽管查率很高,但仅有15.3%需要肝脏病学咨询的患者被转诊.
- 连接失败与非肝胆/移植手术部门 (OR=5.940) 和较短的住院时间 (OR=0.980) 有关.
结论:
- 基于EMR的警报系统成功地增加了手术患者的HCV查.
- 该系统没有有效地将患者与护理级联联系起来,这表明在查后的随访中存在差距.
- 建议采取反射测试或回调系统等主动策略,以改善HCV护理联系.
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