Wieland K A, Ewy G A, Wise M
University Medical Center, Tucson, AZ 85724, USA.
Pharm Pract Manag Q. 1998 Oct;18(3):56-78.
The quality improvement process in a university-based anticoagulation management service is described. A clinic overview describes the reporting structure, patient population, clinic operations, and patient care processes. Quality improvement is an inherent component to any patient care process. The Anticoagulation Clinic is addressing improvements by implementing point-of-care testing, adjusting the full-time equivalent mix, developing a credentialing process for anticoagulation practitioners, and creating a new consult form. By obtaining a new computer tracking program, improved clinical outcome tracking (i.e., thromboembolic and hemorrhagic rates) will occur. Enhancing the format of patient education and additional patient and physician satisfaction surveys are components of educational and psychological outcome improvements.
本文描述了大学抗凝管理服务中的质量改进过程。诊所概述介绍了报告结构、患者群体、诊所运营和患者护理流程。质量改进是任何患者护理流程的固有组成部分。抗凝诊所正在通过实施即时检验、调整全职等效人员配置、制定抗凝从业者的认证流程以及创建新的咨询表格来进行改进。通过获取新的计算机跟踪程序，将实现更好的临床结果跟踪（即血栓栓塞和出血发生率）。改进患者教育形式以及增加患者和医生满意度调查是教育和心理结果改善的组成部分。
