围术期静脉血栓栓塞症防治体系建设探索

Practice on the Prevention and Treatment System of Perioperative Venous Thromboembolism

以试点手术科室为路径,探讨建立围术期静脉血栓栓塞症(Venous thromboembolism,VTE)防治体系对降低住院患者非预期死亡率以及患者的预后的影响.结果表明:医护人员VTE防治意识明显提高;住院患者风险评估达到100%,手术、病情变化后等再评估率76.5%,VTE高危患者预防措施落实率为83.3%,抢救成功率100%;住院患者VTE检出率增加而VTE相关的患者安全事件明显减少,未发生Ⅰ、Ⅱ级事件;患者满意度增加.围术期VTE防治管理体系的构建能够有效降低院内静脉血栓栓塞症相关患者安全事件,降低住院患者非预期死亡率,提升医疗质量,保障患者安全.

The paper aims to explore the effect of the perioperative prevention and treatment system for venous thromboembolism on reducing the unexpected mortality rate and prognosis of patients in Operation Department.The results showed that medical staff’s awareness of VTE prevention and treatment was significantly improved,the risk VTE assessment on hospitalized patients reached 100%,the re-evaluation rate of VTE risk after operation and disease changes was 76.5%,the prevention rate of high-risk patients was 83.3%,and all VTE-related incidents were successfully treated.The detection rate of VTE on hospitalized patients was increased,while safety events happened on VTE-related patients were significantly reduced,no Grade I and II events occurred,and patient satisfaction increased.The construction of perioperative VTE prevention and treatment management system can effectively reduce the safety incidents of patients with venous thromboembolism in hospital,reduce unexpected mortality of inpatients,improve the quality of medical,and ensure patient safety.