智慧医疗赋能院内VTE防治新模式的构建OA
The construction of a new smart healthcare-enabled in-hospital VTE prevention and management model
目的 探讨基于智慧医疗理念构建的院内VTE(静脉血栓栓塞症)防治新模式的应用效果,并量化评估其在提升VTE风险评估率、恰当预防率、规范治疗率以及降低院内VTE发生率与出血事件等方面的管理有效性.方法 依托智慧医疗建设平台收集新模式上线前后的相关资料,分别从评估类指标、预防类指标、诊断类指标、治疗类指标、结局类指标等5个维度进行回顾性分析.结果 新模式上线后评估类指标中VTE风险评估率由81.49％提升到93.30％,出血风险评估率由67.15％提升至86.55％,预防类指标中恰当预防率由67.73％提升至84.01％,诊断类指标中VTE检查阳性率由76.03％提升至80.33％,治疗类指标中规范治疗率由73.52％提升至86.26％,结局类指标中院内VTE发生率由0.78％下降至0.53％,出血事件发生率由4.67％下降至2.02％,以上差异均有统计学意义(P＜0.05).结论 智慧医疗赋能的VTE防治新模式能够有效推进防治流程的标准化与同质化管理,显著提升关键环节执行率(如VTE风险评估率提高了 11.81个百分点,恰当预防率提高了 16.28个百分点),并有效降低不良事件发生率(如院内VTE发生率由0.78％下降至0.53％,出血事件发生率由4.67％下降至2.02％),是提升医疗质量与患者安全的有力工具.
Objective To explore the application effectiveness of a new in-hospital VTE(Venous Thromboembolism)prevention and management model based on the concept of smart healthcare,and to quantitatively evaluate its management effec-tiveness in improving VTE risk assessment rates,appropriate prevention rates,standardized treatment rates,and reducing in-hos-pital VTE incidence and bleeding events.Methods Using the smart healthcare platform,relevant data before and after the im-plementation of the new model were collected.Retrospective analysis was conducted from five dimensions:assessment indicators,prevention indicators,diagnosis indicators,treatment indicators,and outcome indicators.Results After the implementation of the new model,the VTE risk assessment rate among assessment indicators increased from 81.49％to 93.30％,and the bleeding risk assessment rate increased from 67.15％to 86.55％.Among prevention indicators,the appropriate prevention rate increased from 67.73％to 84.01％.Among diagnosis indicators,the positive rate of VTE examinations increased from 76.03％to 80.33％.Among treatment indicators,the standardized treatment rate increased from 73.52％to 86.26％.Among outcome indi-cators,the in-hospital VTE incidence rate decreased from 0.78％to 0.53％,and the bleeding event incidence rate decreased from 4.67％to 2.02％.All differences were statistically significant(P＜0.05).Conclusion The new smart healthcare-enabled VTE prevention and management model effectively promotes the standardization and homogeneous management of prevention and management processes,significantly improves the implementation rates of key steps(e.g.,the VTE risk assessment rate in-creased by 11.81 percentage points,and the appropriate prevention rate increased by 16.28 percentage points),and effectively reduces the incidence of adverse events(e.g.,the in-hospital VTE incidence rate decreased from 0.78％to 0.53％,and the bleeding event incidence rate decreased from 4.67％to 2.02％).It serves as a powerful tool for enhancing medical quality and patient safety.
于小双;瞿泽梅;李凡;刘晓霞;李晶
天津医科大学朱宪彝纪念医院 天津 300134天津市第一中心医院 天津 300192天津医科大学朱宪彝纪念医院 天津 300134天津医科大学朱宪彝纪念医院 天津 300134天津医科大学朱宪彝纪念医院 天津 300134
医药卫生
智慧医疗静脉血栓栓塞症医院管理防治模式
Smart healthcareVenous thromboembolismHospital managementPrevention and management model
《现代医院》 2026 (1)
118-121,4
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