院内静脉血栓栓塞症防治体系构建的再思考

Rethinking of the construction of in-hospital prevention and management system for venous thromboembolism

虽然院内静脉血栓栓塞症(VTE)防治体系在国内多家三甲医院已经成功运行,但在多数医疗单位内仍处于建设阶段,院内VTE防治体系的构建过程中仍存在较多的问题。该研究从以下7个方面存在的问题进行思考:①谁来进行VTE风险评估;②如何灵活地使用评分量表;③如何确定患者动态评估的频率;④如何定位"信息化";⑤如何对VTE患者进行管理;⑥哪个科室牵头开展院内VTE防治工作;⑦如何进行质量的持续改进。最终应根据各个医疗单位的具体情况,充分利用信息化的手段,制定切实可行的院内VTE防治体系,并在运行过程中做好质量控制工作,做好院内VTE防治体系的持续改进工作。

Although the in-hospital prevention and management system for venous thromboembolism(VTE)has been successfully run in many Grade 3 A hospitals in China,this system is still under construction in most medical units,and there are still many problems in the process of construction.This paper aims to make a rethinking of the construction of in-hospital prevention and management system for VTE,focusing on the following 7 aspects:①who conduct the VTE risk assessment?②how to use the scale flexibly?③how to determine the frequency of dynamic assessment for the patients?④how to define the"informatization"?⑤how to manage VTE patients?⑥which department should take the leadership in VTE prevention work in the hospital?⑦how to continuously improve the quality of VTE prevention and management system?Finally,the establishment of a practical in-hospital prevention and management system for VTE should be based on the specific situation of each medical institution while making full use of available information technology.During the running of in-hospital prevention and management system for VTE,the quality control of this system should be continuously observed and improved.(J Intervent Radiol,2020,29:1062-1064)