<code id="wpfx1"><var id="wpfx1"></var></code>
      1. <tbody id="wpfx1"></tbody>
      <menuitem id="wpfx1"><tt id="wpfx1"></tt></menuitem>
      <mark id="wpfx1"></mark>

      1. <tbody id="wpfx1"></tbody>

      [1]屈曉玲王穎楊婷周雁榮.降低泌尿系統疾病患者圍術期VTE發生率[J].中國衛生質量管理,2021,28(08):062-67.[doi:10.13912/j.cnki.chqm.2021.28.8.17 ]
       QU Xiaoling,WANG Ying,YANG Ting.Reducing the Incidence of Perioperative VTE in Patients with Urinary System Diseases[J].Chinese Health Quality Management,2021,28(08):062-67.[doi:10.13912/j.cnki.chqm.2021.28.8.17 ]
      點擊復制

      降低泌尿系統疾病患者圍術期VTE發生率
      分享到:

      《中國衛生質量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

      卷:
      第28卷
      期數:
      2021年08期
      頁碼:
      062-67
      欄目:
      QC小組平臺
      出版日期:
      2021-08-28

      文章信息/Info

      Title:
      Reducing the Incidence of Perioperative VTE in Patients with Urinary System Diseases
      作者:
      屈曉玲王穎楊婷周雁榮
      華中科技大學同濟醫學院附屬同濟醫院
      Author(s):
      QU XiaolingWANG YingYANG Ting
      Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology
      關鍵詞:
      品管圈問題解決型品管圈泌尿系統疾病圍術期靜脈血栓栓塞癥發生率
      Keywords:
      Quality Control Circles Problem Solving Quality Control Circle Urinary System Diseases Perioperative Venous Thrombosis Embolism Incidence
      分類號:
      R197.323;R69
      DOI:
      10.13912/j.cnki.chqm.2021.28.8.17
      文獻標志碼:
      B
      摘要:
      成立品管圈小組,通過現況把握、原因解析、對策擬定,制定SMOOTH干預模式,包括:S(Staff)-人員,推動多學科合作,共謀血栓防控;M(Method)-方法,基于循證證據,規范標準流程;O(Operate)-實施,強化專項改善,實施精準預防;O(On time feedback)-反饋,實時質控反饋,科學有效預防;T(Train)-培訓,全民培訓宣教,強化防控意識;H(Health information system) -信息系統,構建信息平臺,助力血栓防治。實施后泌尿系統疾病患者圍術期VTE發生率由2.81%下降至1.12%,促進了VTE多學科團隊合作,提高了醫療質量和護理質量,保障了患者安全。
      Abstract:
      A quality control circle team was established. Through understanding the current situation,analyzing the causes and formulating countermeasures, the SMOOTH intervention mode was developed, including S (Staff) for personnel, to promote multidisciplinary cooperation and conspire thrombus prevention and control; M for Method, based on evidence-based evidence, to standardize the standard process; O for Operation, strengthen special improvement, implement precise prevention; O for on time feedback, real-time quality control feedback, scientific and effective prevention; T for training, public training and education, strengthening prevention and control awareness; H for Health Information System, building an information platform to help prevent and cure thrombosis. After the implementation, the incidence of perioperative VTE in patients with urinary system diseases decreased from 2.81% to 1.12%, which promoted the multidisciplinary teamwork of VTE, improved the quality of medical and nursing, and ensured the safety of patients.

      參考文獻/References:

      [1]中華醫學會外科學分會血管外科圖5優化后泌尿系統疾病患者圍術期VTE預防作業流程 表2 活動檢討與改進 活動步驟 優點 缺點及努力方向主題選定 以患者圍術期安全及質量為中心,結合實際,重點解決臨床共性及突出問題 為泌尿外科手術患者提供更優質服務計劃擬定 有計劃性、目的性,責任明確 使圈員對整個活動計劃有整體概念現況把握 收集數據,了解泌尿系統疾病患者圍術期VTE發生率及管理薄弱環節,明確改進方向 收集數據時對工作量預估不足,圈員工作負荷較重目標設定 根據病房實際及圈員能力,合理設定目標 可考慮在總體目標框架下,將目標進行分解解析 醫、護、技、管、信團結協作,深入剖析 可嘗試對患者進行訪談,深入了解其預防VTE態度及行為動機對策擬定 基于循證證據和專家經驗,結合臨床實際,使每條對策具有針對性和可操作性 進一步處理好最佳證據與臨床實際及患者意愿之間的關系對策實施與檢討 對于選定對策,圈員能夠積極配合,具有較強的執行力 對策實施需形成長效機制,確保效果維持標準化 制定了系列標準化流程及工作指引,完善了科室督查制度 加強人員培訓,嚴格按流程和工作指引執行,達到同質化;注意與時俱進,及時修訂學組.深靜脈血栓形成的診斷和治療指南(第三版)[J].中華普通外科雜志,2017,32(9): 807-812. [2]王培紅,李素云,桂慧華,等.新編圍術期疼痛護理學[M].武漢:湖北科學技術出版社, 2013:98-101. [3]田 華,宋 越.截石位相關深靜脈血栓形成風險因素分級預防的臨床觀察[J].中國醫刊,2019,54(10):1149-1152. [4]王玉梅,馬愛玲,張 莉,等.泌尿外科術后深靜脈血栓形成的相關危險因素[J].國際護理學雜志,2019,38(18):3053-3056. [5]Mcalpine K, Breau RH, Mallick R, et al. Current guidelines do not sufficiently discriminate venous thromboembolism risk in urology[J].Urologic Oncology, 2017,35(7):457.e1-457.e8. [6]Saluja M, Gilling P. Venous thromboembolism prophylaxis in urology: a review[J].International Journal of Urology, 2017, 24(8): 589-593. [7]Guyatt GH, Eikelboom JW, Gould MK, et al. Approach to outcome measurement in the prevention of thrombosis in surgical and medical patients: antithrombotic therapy and prevention of thrombosis: american college of chest physicians evidence-based clinical practice guidelines[J].Chest, 2012, 141(2): e185S-e194S. [8]Doiron RC,Booth CM,Wei X,et al. Risk factors and timing of venous thromboembolism after radical cystectomy in routine clinical practice: a population -based study[J].BJU International,2016,118(5): 714-722. [9]Forrest JB,Clemens JQ,Finamore P,et al.AUA best practice statement for the prevention of deep vein thrombosis in patients undergoing urologic surgery[J].The Journal of Urology,2009,181(3):1170-1177. [10]Tikken K,Cartwright R,Guyatt G,et al.EAU guideline on thromboprophylaxis in urological Surgery[EB/OL].(2020-10-28).http://uroweb.org/guideline/thromboprophylaxis. [11]柏楊,陳錦,黃鸝,等.縮短急性缺血性腦卒中患者DRT時間[J].中國衛生質量管理,2020,27(4):109-113.

      相似文獻/References:

      [1]陳園園 孫蓉蓉 孟繁榮.某院醫師質量管理工具培訓效果分析[J].中國衛生質量管理,2016,23(06):021.[doi:10.13912/j.cnki.chqm.2016.23.6.08]
      [2]蔣海泥李剛*夏海朋謝子秋孫熹.醫院質量管理新思路:精細化管理與品管圈聯合應用[J].中國衛生質量管理,2017,24(02):071.[doi:10.13912/j.cnki.chqm.2017.24.2.22]
      [3]高巖鮑 玉榮 張莉彩 趙慶華 馮丹.小品管,大質量:醫院開展品管圈活動效果研究[J].中國衛生質量管理,2017,24(04):001.[doi:10.13912/j.cnki.chqm.2017.24.4.01]
      [4]馬薇 葉麗艷 馬艷寧 葉坤 張有江 楊繼勇 羅燕萍.品管圈助力醫技質量管理水平提升[J].中國衛生質量管理,2017,24(04):004.[doi:10.13912/j.cnki.chqm.2017.24.4.02]
      [5]王玉玲 皮紅英.品管圈助力護理質量管理水平提升[J].中國衛生質量管理,2017,24(04):006.[doi:10.13912/j.cnki.chqm.2017.24.4.03]
      [6]袁繼紅 李潔 胡焱 許俊娟 李明麗 蔣丹丹 張平 常文明.品管圈助力營養配餐管理水平提升[J].中國衛生質量管理,2017,24(04):008.[doi:10.13912/j.cnki.chqm.2017.24.4.04]
      [7]馮丹 何史林 高巖.信息化助力品管圈活動開展[J].中國衛生質量管理,2017,24(04):011.[doi:10.13912/j.cnki.chqm.2017.24.4.05]
      [8]趙慶華 周穎 高巖.通過品管理念提升ICU護理質量[J].中國衛生質量管理,2017,24(04):013.[doi:10.13912/j.cnki.chqm.2017.24.4.06]
      [9]李明學.價值工程在課題達成型品管圈方案優選中的應用[J].中國衛生質量管理,2017,24(04):065.[doi:10.13912/j.cnki.chqm.2017.24.4.23]
      [10]涂宣成 肖萬超 王道雄 鄒佩琳 呂家高.建設現代醫院后勤質量管理體系[J].中國衛生質量管理,2018,25(01):001.[doi:10.13912/j.cnki.chqm.2018.25.1.01]
      [11]陳玲 張貞 趙宗歡 田媛 樊霞 翟君麗 周高陽 仲月霞 張登文.降低缺血性腦卒中患者吸入性肺炎發生率[J].中國衛生質量管理,2020,27(01):119.[doi:10.13912/j.cnki.chqm.2020.27.1.30]
      [12]黨笑柏蒙張澤昊段寶玲*杜白茹王宇.降低腔鏡手術患者接臺延遲率[J].中國衛生質量管理,2020,27(06):103.[doi:10.13912/j.cnki.chqm.2020.27.6.25]
       DANG Xiao,BAI Meng,ZHANG Zehao,et al.Reducing the Connection Delay Rate for Patients Receiving Endoscopic Surgery[J].Chinese Health Quality Management,2020,27(08):103.[doi:10.13912/j.cnki.chqm.2020.27.6.25]
      [13]李凌哈斯朝魯任穎張耀武.縮短危急值首次出現到臨床接收平均周轉時間[J].中國衛生質量管理,2021,28(01):072.[doi:10.13912/j.cnki.chqm.2021.28.1.19 ]
       LI Ling,HA Sichaolu,REN Ying.Shortening the Average Turnaround Time from the First Critical Value to Clinical Reception[J].Chinese Health Quality Management,2021,28(08):072.[doi:10.13912/j.cnki.chqm.2021.28.1.19 ]
      [14]李小露吳秀芹賀巍姚瑤.提高前置審核環節處方合格率[J].中國衛生質量管理,2021,28(02):074.[doi:10.13912/j.cnki.chqm.2021.28.2.22 ]
       LI Xiaolu,WU Xiuqin,HE Wei.Improving the Prescription Qualification Rate in the Pre-Review Process[J].Chinese Health Quality Management,2021,28(08):074.[doi:10.13912/j.cnki.chqm.2021.28.2.22 ]
      [15]董娟娟李亞娟*齊小玲李國偉.縮短患者CRRT等待上機時間[J].中國衛生質量管理,2021,28(04):080.[doi:10.13912/j.cnki.chqm.2021.28.4.23 ]
       DONG Juanjuan,LI Yajuan,QI Xiaoling.Shortening the CRRT Waiting Time for Patients[J].Chinese Health Quality Management,2021,28(08):080.[doi:10.13912/j.cnki.chqm.2021.28.4.23 ]
      [16]張海云楊旻星 葉赟曹雁南韓文娟.提高住院患者計時尿標本留取準確率[J].中國衛生質量管理,2021,28(06):090.[doi:10.13912/j.cnki.chqm.2021.28.6.24 ]
       ZHANG Haiyun,YANG Minxing,YE Yun.Improving the Accuracy of Timing Urine Specimen Retention for Inpatients[J].Chinese Health Quality Management,2021,28(08):090.[doi:10.13912/j.cnki.chqm.2021.28.6.24 ]
      [17]趙婷李海紅金娟陳蒙李偉.降低腹部 Ⅱ 類切口感染發生率[J].中國衛生質量管理,2021,28(07):086.[doi:10.13912/j.cnki.chqm.2021.28.7.22 ]
       ZHAO Ting,LI Haihong,JIN Juan.Reducing the Incidence of Type Ⅱ Incision Infection in the Abdomen[J].Chinese Health Quality Management,2021,28(08):086.[doi:10.13912/j.cnki.chqm.2021.28.7.22 ]
      [18]許倩許瑞華馮金華范美齡.降低腹部手術患者圍術期非計劃性低體溫發生率[J].中國衛生質量管理,2021,28(08):068.[doi:10.13912/j.cnki.chqm.2021.28.8.18 ]
       XU Qian,XU Ruihua,FENG Jinhua.Reducing the Incidence of Inadvertent Perioperative Hypothermia in Patients Undergoing Abdominal Surgery[J].Chinese Health Quality Management,2021,28(08):068.[doi:10.13912/j.cnki.chqm.2021.28.8.18 ]

      更新日期/Last Update: 2021-08-28
      浙江风采网