基于分级管理的静脉血栓栓塞症患者全程化抗凝管理模式的建立与评价

目的:建立基于分级管理的静脉血栓栓塞症患者全程化抗凝管理模式(Integrated and hierarchical anticoagulation management mode for patients with venous thromboembolism,VTE-IHAM),并评价实践效果.方法:以文献计量学的...

Establishment and Evaluation of Integrated and Hierarchical Anticoagulation Management Mode for Patients with Venous Thromboembolism

Objective: To establish an integrated and hierarchical anticoagulation management mode for patients with venous thromboembolism (VTE-IHAM), and evaluate its practical effects. Methods: The method of bibliometrics was used to establish VTE-IHAM. Patients with deep vein thrombosis (DVT) were enrolled, who were hospitalized in the Drum Tower Hospital Affiliated to Nanjing University Medical School from May 2020 to September 2020. Clinical pharmacists used VTE-IHAM to manage patients in anticoagulation therapy and followed up for three months. The quality of anticoagulation treatment and the workload of pharmacists were analyzed. Results: VTE-IHAM was established including a hierarchical management mode and an integrated management mode. A total of 98 DVT patients were enrolled. Compared with patients managed by the undifferentiated mode, patients managed by VTE-IHAM showed no significant difference in the incidence of thromboembolism and bleeding, while their number of ward rounds (5.0±2.6) vs (10.4±4.4), P<0.001)] and total management time (74.3±43.0)min vs (137.2±67.2)min, P<0.001] per patient by clinical pharmacists were significantly reduced. Conclusion: VTE-IHAM established by clinical pharmacists can identify high-risk patients in anticoagulant therapy, standardize the work process and content, and improve the work efficiency of pharmacists.