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制定国家静脉血栓栓塞症预防与治疗绩效指标。

Development of national performance measures on the prevention and treatment of venous thromboembolism.

机构信息

Oklahoma Foundation For Medical Quality, 14000 Quail Springs Parkway, Ste. 400, Oklahoma City, OK 73134, USA.

出版信息

J Thromb Thrombolysis. 2010 Feb;29(2):148-54. doi: 10.1007/s11239-009-0407-2.

DOI:10.1007/s11239-009-0407-2
PMID:19915995
Abstract

Venous thromboembolism (VTE) remains a significant public health problem in the United States, particularly for hospitalized patients. Approximately two-thirds of all VTE events are associated with recent hospitalization. Despite the well-known risks of VTE, multiple studies have demonstrated underuse of VTE prophylaxis and clinicians often do not provide evidence-based care for those patients with confirmed VTE. In January 2005, the National Quality Forum initiated a project to develop national consensus standards on organization policies, preferred practices, and performance measures for the prevention and treatment of VTE. In addition to the organizational policy statement and 17 preferred practices, eight national performance measures addressing various aspects of VTE prevention and care have been endorsed. There is now a broad consensus on standardized measures of quality for the prevention and treatment of VTE, and a national commitment to collect and publicly report data on the quality of care for this important health problem.

摘要

静脉血栓栓塞症(VTE)仍然是美国一个重大的公共卫生问题,尤其是对住院患者而言。大约三分之二的 VTE 事件与近期住院有关。尽管 VTE 的风险众所周知,但多项研究表明,VTE 预防措施的使用率较低,临床医生通常不为确诊 VTE 的患者提供基于证据的护理。2005 年 1 月,国家质量论坛发起了一个项目,旨在制定关于预防和治疗 VTE 的组织政策、首选实践和绩效衡量标准的国家共识标准。除了组织政策声明和 17 项首选实践外,还支持了八项国家绩效衡量标准,这些标准涉及 VTE 预防和护理的各个方面。目前,人们已经就 VTE 预防和治疗的标准化衡量标准达成广泛共识,并承诺收集和公开报告这一重要健康问题的护理质量数据。

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本文引用的文献

1
Medicare program; changes to the hospital inpatient prospective payment system for acute care hospitals and fiscal year 2010 rates; and changes to the long-term care hospital prospective payment system and rate years 2010 and 2009 rates. Final rules and interim final rule with comment period.医疗保险计划;急性护理医院住院病人前瞻性支付系统的变更及2010财年费率;以及长期护理医院前瞻性支付系统的变更及2010年和2009年费率。最终规则及有意见征求期的暂行最终规则。
Fed Regist. 2009 Aug 27;74(165):43753-4236.
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Post-thrombotic syndrome: prevalence, prognostication and need for progress.血栓形成后综合征:患病率、预后评估及进展需求
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执行摘要:美国胸科医师学会循证临床实践指南(第8版)。
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The epidemiology of venous thromboembolism in the community.社区静脉血栓栓塞症的流行病学
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Venous thromboembolism (VTE) in Europe. The number of VTE events and associated morbidity and mortality.欧洲的静脉血栓栓塞症(VTE)。VTE事件的数量以及相关的发病率和死亡率。
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Assessing, preventing, and treating venous thromboembolism: evidence-based approaches.评估、预防和治疗静脉血栓栓塞:循证方法
Am J Health Syst Pharm. 2007 Jun 1;64(11 Suppl 7):S5-13. doi: 10.2146/ajhp070108.
7
Performance measures for pneumonia: are they valuable, and are process measures adequate?肺炎的绩效指标:它们有价值吗?过程指标足够吗?
Curr Opin Infect Dis. 2007 Apr;20(2):182-9. doi: 10.1097/QCO.0b013e3280495468.
8
Public reporting and pay for performance in hospital quality improvement.医院质量改进中的公开报告与绩效薪酬
N Engl J Med. 2007 Feb 1;356(5):486-96. doi: 10.1056/NEJMsa064964. Epub 2007 Jan 26.
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The Surgical Infection Prevention and Surgical Care Improvement Projects: promises and pitfalls.外科感染预防与外科护理改进项目:前景与困境
Am Surg. 2006 Nov;72(11):1010-6; discussion 1021-30, 1133-48.
10
Compliance with antithrombotic guidelines.遵循抗血栓形成指南。
Manag Care. 2006 Sep;15(9):49-50, 53-60, 66.