摘要
静脉血栓栓塞症( VTE)的发病率和致死率高,成为医院医疗质量管理面临的严峻问题,亟需探索院内VTE防治的长效管理机制.我院建设了面向VTE的临床决策支持系统,完善VTE防控信息平台,实现Caprini评估模型自动化评分和VTE防控措施建议,支持VTE高危/极危患者超声检查绿色通道,构建精细化的防控工作评价体系.信息化防控体系的建成,提升了医生的VTE防控认知度和诊疗水平,患者VTE发生风险得以动态追踪,诊断例数和治疗率显著提高,有效降低了住院患者VTE发生率和病死率,提高了医疗质量.
Venous thromboembolism(VTE)is characteristic of high incidence and fatality rate, forming a severe challenge for medical quality management by hospitals and urgently calling for a long-term management mechanism of VTE prevention and treatment.To tackle this problem, the hospital has built a VTE-oriented clinical decision support system, with optimized information platform for the control.The system features automatic scoring of Caprini evaluation model and suggestion of VTE control measures, green ultrasonography channel for VTE high risk patients, and a refined evaluation system.The establishment of an IT control information system has improved VTE awareness and diagnosis level of clinicians.This system can keep track of the risk of VTE occurrence dynamically, significantly improving the number of diagnosed cases and treatment rate, effectively reducing inpatients′ VTE incidence and mortality, and improving quality of care in the end.
作者
任宇飞
陈洞天
庹兵兵
夏海朋
Ren Yufei;Chen Dongtian;Tuo Bingbing;Xia Haipeng(Computer Center,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China;Medical Department,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China)
出处
《中华医院管理杂志》
CSCD
北大核心
2019年第7期536-539,共4页
Chinese Journal of Hospital Administration
关键词
静脉血栓栓塞
临床决策支持
风险评估
评价体系
持续改进
Venous thromboembolism
Clinical decision support
Risk assessment
Evaluation system
Continuous improvement
