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对患者护理的影响:患者病例贯穿整个护理过程。

Impact on patient care: patient case through the continuum of care.

机构信息

Henry Ford Hospital, General Internal Medicine, 2799 W. Grand blvd, Detroit, MI 48202, USA.

出版信息

J Thromb Thrombolysis. 2010 Feb;29(2):167-70. doi: 10.1007/s11239-009-0408-1.

DOI:10.1007/s11239-009-0408-1
PMID:19902149
Abstract

Hospitalized patients are at increased risk of venous thromboembolism and the Joint Commission has initiated practice measures to improve the rates of preventable events. The Joint Commission also initiated the National Patient Safety Goals for medication prescribing and administration, of which, goal 03.05.01 is specifically aimed at anticoagulation therapy. These measures and goals are consistent with the American College of Chest Physicians' Consensus Guidelines on Antithrombotic and Thrombolytic Therapy. This narrative review uses a case-based approach that brings up practical clinical questions regarding these measures, goals and guidelines as they apply to a patient going through the continuum of care from the hospital to their home.

摘要

住院患者发生静脉血栓栓塞的风险增加,为此联合委员会已采取实践措施来提高预防事件的发生率。联合委员会还启动了针对药物处方和管理的国家患者安全目标,其中 03.05.01 目标专门针对抗凝治疗。这些措施和目标与美国胸科医师学会的抗栓和溶栓治疗共识指南一致。本叙述性综述采用基于案例的方法,提出了关于这些措施、目标和指南的实际临床问题,这些问题适用于从医院到家庭的连续护理过程中的患者。

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本文引用的文献

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Chest. 2008 Jun;133(6 Suppl):160S-198S. doi: 10.1378/chest.08-0670.
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Venous thromboembolism risk and prophylaxis in the acute hospital care setting (ENDORSE study): a multinational cross-sectional study.急性医院护理环境中的静脉血栓栓塞风险与预防(ENDORSE研究):一项跨国横断面研究。
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Meta-analysis: anticoagulant prophylaxis to prevent symptomatic venous thromboembolism in hospitalized medical patients.荟萃分析:住院内科患者预防性使用抗凝剂预防有症状静脉血栓栓塞症
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Pharmacy-managed anticoagulation: assessment of in-hospital efficacy and evaluation of financial impact and community acceptance.药学管理的抗凝治疗:住院疗效评估及财务影响与社区接受度评价
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Effect of study setting on anticoagulation control: a systematic review and metaregression.研究环境对抗凝控制的影响:一项系统评价与Meta回归分析
Chest. 2006 May;129(5):1155-66. doi: 10.1378/chest.129.5.1155.
10
Multicenter evaluation of the use of venous thromboembolism prophylaxis in acutely ill medical patients in Canada.加拿大急性病内科患者静脉血栓栓塞预防措施使用情况的多中心评估。
Thromb Res. 2007;119(2):145-55. doi: 10.1016/j.thromres.2006.01.011. Epub 2006 Mar 3.