摘要
目的依托医护一体化信息管理系统,改善妇科围术期患者静脉血栓栓塞症(VTE)风险评估及预防措施落实。方法建立科室医护一体化VTE质量管理小组,设计重点环节节点控制,形成VTE评估-提醒-处置标准化预防流程,完善预警风险管理,以结构-过程-结果为评价体系,对科室VTE预防监测管理和持续质量改进。以医护一体化信息管理系统在病区实施时间为节点,将2019年1月—6月住院的407例患者设为对照组,2019年7月—12月343例患者设为观察组。对比两组VTE发生率。结果观察组住院患者VTE风险评估初筛率为100.00%(343/343),相较于对照组的74.94%(305/407)上升,差异有统计学意义(P<0.01)。实施医护一体化信息管理后,VTE低危、中危及以上患者预防措施落实率均较实施前提升(P<0.01)。观察组中危及以上患者VTE发生2(0.58%)例;对照组低危患者VTE发生5(1.23%)例,中危及以上患者VTE发生7(1.72%)例。结论医护一体化管理系统能够优化医护沟通渠道,促进妇科围术期患者VTE防控体系标准化和同质化,保障患者安全,提升医疗质量。
Objective To improve the risk assessment and prevention of perioperative ve-nous thromboembolism(VTE)in gynecological patients by using integrated information manage-ment system of medical care.Methods A quality management team was established to design the key issues of VTE prevention and formulate a standard procedure of evaluating,alarming and processing.The early warning risk management,evaluated by the structure-process-result sys-tem,was established to continuously improve the quality of preventive monitoring and manage-ment of VTE.Totally 407 patients with hospital admission between Jan and June 2019 were in-cluded as the control group,and another 343 patients with hospital admission between July and December 2019 were recruited as the observation group.The incidence of VTE was compared be-tween two groups.Results The preliminary screening rate in the observation group was 100.00%(343/343),which was significant higher than 74.94%(305/407)in the control group(P<0.01).The implementation rates of preventive measures for low-risk patients and moderate-to high risk patients were increased significantly after using integrated information management system(P<0.01).There were 2(0.58%)cases of VTE in low-risk patients in the observation group.There were 5(1.23%)cases of VTE in low-risk patients and 7(1.72%)cases in moderate-to-high risk patients in the control group.Conclusion The integrated medical care management system can op-timize the medical communication channels,promote the standardization and homogenization of the prevention and control system of VTE for gynecological patients during the perioperative peri-od,which can ensure the safety of patients and improve the medical quality.
作者
蒋志会
戎明梅
JIANG Zhihui;RONG Mingmei(Department of Gynecology,The First Affiliated Hospital with Nanjing Medical University Jiangsu Women and Children Health Hospital,Nanjing,Jiangsu,210036)
出处
《中西医结合护理》
2023年第12期189-193,共5页
Chinese Journal of Integrative Nursing
关键词
医护一体化
信息管理
妇科手术
围手术期
静脉血栓栓塞
风险评估
预防措施
integration of medical care
information management
gynecological surgery
perioperative period
venous thromboembolism
risk assessment
preventive measures
