医院规范化静脉血栓栓塞症防治及管理体系的建立.PDFVIP

华西医学 2017年2月第32卷第2期 • 1 • ·医院管理与教学· 医院规范化静脉血栓栓塞症防治与管理体系 的建立 任爽，李大江，胡果，刘凯，张瀚智，张卫东 四川大学华西医院医教部（成都  610041 ） 【摘要】   静脉血栓栓塞症（venous thromboembolism ，VTE ）是住院患者尤其是骨科手术、神经外科手术、心 胸外科手术、肿瘤等患者的高危并发症，是院内患者非预期死亡和围术期死亡的重要原因。通过建立规范的 VTE 管理制度和组织构架、制定完善的住院患者 VTE 风险评估体系和防治方案、采取全员培训普及相关知识、重点科 室试行直至全面推广的实施步骤，初步建立起医院规范化静脉血栓栓塞症防治与管理体系，并通过多学科协作的 工作模式深入开展院内 VTE 防治工作，取得了良好效果。 【关键词】  静脉血栓栓塞症；精细化管理；医疗质量；医疗安全；医院管理 Establishment of Hospital standardization venous thromboembolism prevention and management system Ren Shuang, Li Dajiang, Hu Guo, Liu Kai, Zhang Hanzhi, Zhang Weidong Corresponding author: Liu Kai, Email: liubusiness@163.com 【Abstract 】 Venous thromboembolism is high risk complications in hospitalized patients, especially in patients with orthopaedic surgery, Nerve surgery, Thoracic surgery, Cardiac surgery, tumor, such as a significant cause for patients unexpected death and perioperative death.Through the establishment of norms of VTE management system and organizational structure, formulate perfect VTE Risk assessment system and treatment scheme in hospitalized patients, adopt all the medical staff training related knowledge, key department on a trial basis, the implementation of the comprehensive promotion in all department, it established a hospital standardization system of venous thromboembolism prevention and management. Through multidisciplinary collaboration in VTE prevention, our control work achieved good results. 【Key words 】 Venous thromboembolism; Refined management; Medical quality; Medical safety; Hospital management 静脉血栓栓塞症（venous thromboembolism ， 60 万例，VTE 相关死亡接近 30 万例，其中突发肺 [1] VTE ）包括深静脉血栓形成（deep venous thromboem 栓塞死亡者在 10 万例以