Oklahoma Foundation For Medical Quality, 14000 Quail Springs Parkway, Ste. 400, Oklahoma City, OK 73134, USA.
J Thromb Thrombolysis. 2010 Feb;29(2):148-54. doi: 10.1007/s11239-009-0407-2.
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.
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。