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区域数智化静脉血栓栓塞症防控管理模式的构建及应用

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目的 在杭州市静脉血栓栓塞症(venous thromboembolism,VTE)质量控制中心的助力下,开展区域数智化VTE防控监管模式的构建,提升区域VTE规范防控水平。方法 研究从"构建组织架构、制定实施标准、推进运行机制、搭建智能监管平台"四个方面构建区域数智化VTE防控监管模式,并对接入智能监管平台的3家医疗机构的数据进行统计分析。结果 自2022年1月—2023年6月,3家医疗机构的住院患者VTE风险评估逐步规范化:VTE风险评估率超过93%,入院24 h内VTE风险评估率、VTE动态评估率及VTE中高风险比例均呈现显著上升趋势;VTE规范预防率维持在60%上下;院内相关VTE发生率从1。82%下降至0。41%,下降幅度超过70%。结论 区域数智化VTE防控管理模式有助于提升区域内VTE规范防控水平,降低区域内医院相关VTE的发生率。
Construction of regional digitalized management model for venous thromboembolism prevention and control
Objective This study aims to establish a regional digitalized venous thromboembolism(VTE)prevention and control model with the support of the VTE Quality Control Center in Hangzhou to enhance the standardized prevention and re-gional treatment level.Methods The research was carried out from four aspects:constructing organizational structure,formula-ting implementation standards,promoting operational mechanisms,and building intelligent supervision platforms.A statistical a-nalysis was conducted to the data on the intelligent supervision platforms of three medical institutions.Results From January 2022 to June 2023,the VTE risk assessment of inpatients in the three medical institutions gradually became standardized,with an assessment rate exceeding 93%.The rates of VTE risk assessment within 24 hours of admission,dynamic assessment of VTE,and the proportion of VTE with moderate to high risk all showed significantly increasing trends.The standardized prevention rate of VTE remained around 60%.The incidence of relevant VTE within the hospital decreased from 1.82%to 0.41%,with a de-crease rate of over 70%.Conclusion The regional digitalized VTE prevention and control management model contributes to im-proving the standardized prevention and treatment level of VTE and reducing the incidence of hospital-related VTE in the region.

Venous thromboembolismRegionArtificial intelligence

董烨华、方欣、张薇、钱宇、张靖

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西湖大学医学院附属杭州市第一人民医院 浙江杭州 310006

杭州市肿瘤医院 浙江杭州 310000

静脉血栓栓塞症 区域 人工智能

2024

现代医院
广东省医院协会

现代医院

影响因子:1.332
ISSN:1671-332X
年,卷(期):2024.24(8)