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住院患者静脉血栓栓塞症防治管理与工作常规
$40.13
静脉血栓栓塞症(venous thromboembolism,VTE)包括肺动脉栓塞(简称肺栓塞,pulmonary embolism,PE)和深静脉血栓形成(deep vein thrombosis,DVT)两种临床表现形式。医院内肺栓塞和深静脉血栓形成与患者住院的病情、手术等治疗措施以及患者自身危险因素(如卧床、高龄、肥胖或其他合并疾病)有关,是住院患者常见的疾病,也是医院内非预期死亡的重要原因,严重危害人民的健康。院内发生的VTE已成为医院管理者和临床医护人员面临的严峻问题。临床上诸多科室的患者均存在VTE风险,其发病隐匿,临床症状不典型,容易误诊、漏诊,一旦发生,致死率和致残率高。而VTE是一种可预防的疾病,积极有效的预防可以显著降低其发生率,规范的诊断与治疗可以显著降低其病死率。
昆明市延安医院肺栓塞和深静脉血栓形成防治管理委员会于2018年建立,下设VTE防治管理办公室、VTE多学科协作诊疗团队和VTE快速反应团队,实行院-科两级综合防治与管理,旨在通过有效的风险评估手段、适宜的预防方法和策略、规范的诊断和治疗措施降低VTE导致的医疗风险和疾病负担,提高医疗质量,保障患者安全。为进一步普及肺栓塞-深静脉血栓形成的防治知识,提高医务人员对肺栓塞和深静脉血栓形成的防治意识和能力,院内VTE防治管理委员会防治管理办公室编制了《静脉血栓栓塞症(VTE)防治工作手册》供各临床科室参考。随着院内VTE防治工作的深入推进、相关专业指南更新,院内VTE防治管理委员会防治管理办公室结合医院实际情况,在《工作手册》的基础上,组织临床科室专家编写了《住院患者静脉血栓栓塞症防治管理与工作常规》一书。本书主要参考了《全国肺栓塞和深静脉血栓形成防治能力建设项目三级医院中心建设标准(2021版)》《全国肺栓塞和深静脉血栓形成防治能力建设项目工作手册》以及国内外相关指南,同时,还纳入了各个高危科室结合自身专业特点所制订的专科防治方案,内容翔实且操作性强,相信一定能为各科室及临床医务人员VTE日常防治与管理工作提供有力帮助。
由于编者时间和水平有限,书中尚有不足之处,恳请广大读者提出宝贵建议和意见
部分 管理制度
章 医院肺栓塞和深静脉血栓形成防治中心建设实施方案
第二章 医院肺栓塞和深静脉血栓形成防治中心管理工作例会制度
第三章 医院肺栓塞和深静脉血栓形成防治中心质量控制与改进制度
第四章 医院肺栓塞和深静脉血栓形成防治中心质量控制与改进方案
第五章 医院肺栓塞和深静脉血栓形成防治中心多学科联合诊疗制度
第六章 医院肺栓塞和深静脉血栓形成防治中心多学科联合例会制度
第七章 医院肺栓塞和深静脉血栓形成防治中心绿色通道管理制度
第八章 医院肺栓塞和深静脉血栓形成快速反应团队
第九章 医院肺栓塞和深静脉血栓形成防治患者随访管理制度
第十章 医院肺栓塞和深静脉血栓形成防治中心院外会诊及远程会诊制度
第十一章 医院肺栓塞和深静脉血栓形成防治中心双向转诊制度
第十二章 医院肺栓塞和深静脉血栓形成防治中心培训制度
第十三章 医院肺栓塞和深静脉血栓形成防治中心信息及数据管理制度
第二部分 VTE 评估、预防、诊断与治疗方案
第十四章 医院肺栓塞和深静脉血栓形成评估和预防方案
第十五章 医院深静脉血栓形成应急预案及处理流程
第十六章 医院急性肺动脉栓塞应急预案及处理流程
第十七章 静脉血栓栓塞症防治相关出血并发症的处理
第十八章 评估量表
第十九章 知情同意书
第三部分 高危科室 VTE 评估和预防方案
第二十章 肾病学科肺栓塞和深静脉血栓形成评估和预防方案
第二十一章 血管外科肺栓塞和深静脉血栓形成评估和预防方案
第二十二章 急诊科肺栓塞和深静脉血栓形成评估和预防方案
第二十三章 产科肺栓塞和深静脉血栓形成评估和预防方案
第二十四章 普通外科肺栓塞和深静脉血栓形成评估和预防方案
第二十五章 妇科肺栓塞和深静脉血栓形成评估和预防方案
第二十六章 泌尿外科肺栓塞和深静脉血栓形成评估和预防方案
第二十七章 骨科肺栓塞和深静脉血栓形成评估和预防方案
第二十八章 呼吸与危重症学科肺栓塞和深静脉血栓形成评估和预防方案
……
参考文献
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