信息化管理在院内静脉血栓栓塞症防控中的实施效果评价  

The implementation effect of information management in the prevention and control of intrahospital venous thromboembolism

作　　者：余唯 王珊[1] 李强[2] YU Wei;WANG Shan;LI Qiang(Quality Control Office,Zigong Fourth People’s Hospital,Sichuan,Zigong 643000,China;Department of Anesthesiology,Zigong Fourth People’s Hospital,Sichuan,Zigong 643000,China)

机构地区：[1]四川省自贡市第四人民医院质控办,四川自贡643000 [2]四川省自贡市第四人民医院麻醉科,四川自贡643000

出　　处：《中国医药科学》2024年第12期179-183,共5页China Medicine And Pharmacy

基　　金：四川省自贡市科技计划项目(2021ZC24)。

摘　　要：目的探讨采用信息化管理对提高静脉血栓栓塞症(VTE)防控内涵质量的效果。方法随机抽取自贡市第四人民医院骨科、呼吸内科、妇产科、心血管内科信息化管理前(2020年1月1日至7月31日)及信息化管理后(2021年1月1日至7月31日)的病案各216份,分别设为信息化管理前组、信息化管理后组,统计两组VTE风险评估质控指标、诊断质控指标、预防质控指标和结局质控指标。结果信息化管理后VTE风险评估质量明显提高,VTE风险评估率、评估及时率、评估准确率、动态评估率分别为95.37%、91.75%、92.72%、76.21%,均显著高于信息化管理前的74.54%、57.76%、81.99%、19.25%,差异有统计学意义(P<0.05)。检查检验方面,信息化管理后VTE风险检查检验率、D-二聚体检测率、静脉超声检查率分别为93.98%、98.03%、87.97%,与信息化管理前的64.81%、82.86%、76.99%相比均有明显改善,差异有统计学意义(P<0.05)。预防管理方面,信息化管理后中高风险患者预防措施执行率为87.96%,较信息化管理前的59.72%有显著改善,差异有统计学意义(P<0.05)。结局指标方面,信息化管理后医院相关性VTE发生率为0,明显低于信息化管理前的1.85%,差异有统计学意义(P<0.05)。结论信息化管理能明显提高VTE防控内涵质量,对于进一步保障医疗安全具有一定的现实意义。Objective To explore the effect of adopting information management on improving the quality of prevention and control of venous thromboembolism(VTE).Methods Randomly selected 216 medical records from the Departments of Orthopedics,Respiratory Medicine,Obstetrics and Gynecology,and Cardiovascular Medicine of the Zigong Fourth People’s Hospital before information management(January 1 to July 31,2020)and after information management(January 1 to July 31,2021),set them as the pre information management group and the post information management group,respectively.And statistically analyzed the quality control indicators for VTE risk assessment,diagnostic quality control indicators,preventive quality control indicators,and outcome quality control indicators for the two groups.Results After information management,the quality for VTE risk assessment has significantly improved.The VTE risk assessment rate,assessment timeliness rate,assessment accuracy rate,and dynamic assessment rate were 95.37%,91.75%,92.72%,and 76.21%,respectively,which were significantly higher than 74.54%,57.76%,81.99%,and 19.25%before information management,with statistically significant differences(P<0.05).In terms of inspection and testing,the VTE risk inspection rate,D-dimer detection rate,and venous ultrasound inspection rate after information management were 93.98%,98.03%,and 87.97%,respectively,which were significantly improved compared to 64.81%,82.86%,and 76.99%before information management,with statistically significant differences(P<0.05).In terms of preventive management,the implementation rate of preventive measures for medium to high-risk patients after information management was 87.96%,which was significantly improved from 59.72%before information management,with a statistically significant difference(P<0.05).In terms of outcome indicators,the incidence of hospital related VTE after information management was 0,significantly lower than the 1.85%before information management,with a statistically significant difference(P<0.05).Conclusio

关 键 词：静脉血栓栓塞症 信息化管理 防控 内涵质量 质量控制指标 

分 类 号：R543.6[医药卫生—心血管疾病]