Henry Ford Hospital, General Internal Medicine, 2799 W. Grand blvd, Detroit, MI 48202, USA.
J Thromb Thrombolysis. 2010 Feb;29(2):167-70. doi: 10.1007/s11239-009-0408-1.
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.
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。