Zhang Jun, Komargodski Olga, McElroy Andrew, Echaide Claudia
Physical Medicine and Rehabilitation, St. Charles Hospital, Port Jefferson, USA.
Cureus. 2022 Mar 13;14(3):e23134. doi: 10.7759/cureus.23134. eCollection 2022 Mar.
To improve medication reconciliation and decrease the rate of deep vein thrombosis (DVT) after the transfer of brain-injured neurologically impaired patients from an acute hospital setting to an inpatient rehabilitation facility, a performance improvement strategy was put in place. Such a strategy consisted of adding the proper DVT prophylaxis medication and dosage in the preadmission screen to prevent a delay in receiving the appropriate medication. This resulted in a dramatic reduction of inappropriately discontinued medications from 14.2% of patients to 5.78% over six months (p-value: 0.03). However, after the intervention, we surprisingly observed an increased rate of DVT from 6.2% to 10.11% (p-value: 0.03). This increase may be attributable to a larger number of venous duplex studies performed because of increased awareness of venous thromboembolism (VTE).
为改善脑损伤神经功能障碍患者从急性医院环境转至住院康复机构后的用药核对情况，并降低深静脉血栓形成（DVT）发生率，实施了一项绩效改进策略。该策略包括在入院前筛查中添加适当的DVT预防药物和剂量，以防止接受适当药物治疗出现延迟。这使得在六个月内，不适当停药的患者比例从14.2%大幅降至5.78%（p值：0.03）。然而，干预后，我们惊讶地发现DVT发生率从6.2%增至10.11%（p值：0.03）。这种增加可能归因于由于对静脉血栓栓塞（VTE）的认识提高，进行了更多的静脉双功超声检查。
