A Practical Exploration of Mortality and Morbidity Conferences in the Prevention and Treatment of VTE
- VernacularTitle:死亡与并发症病例讨论会制度在VTE防治中的实践探索
- Author:
Jie ZHOU
1
;
Lingjuan HU
;
Jiaoqian YING
Author Information
1. 北京中医药大学管理学院 北京 100029
- Keywords:
Mortality and Morbidity Conferences;
venous thromboembolism;
prevention and treatment
- From:
Chinese Hospital Management
2024;44(7):42-45
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the effect of Mortality and Morbidity Conferences(MMC)in the prevention and treatment of hospital-related venous thromboembolism(VTE),and to provide a reference forthe implementation of prevention and treatment measures of VTE in hospitals.Methods Two MMC implemented in August-September 2023 at a tertiary genera l hospita l in Beijing were selected,and rainstorming and root cause analysis were used to profile two cases selected at the meetings that were highly suspected to have died from acute pulmonary embolism.Results Insufficient awareness of VTE,insufficient sensitivity to the diagnosis of VTE,inadequate management of adverse events and failure to establish a VTE risk assessment process are the root causes of hospital-related VTE events.Conclusion Hospitals should establish a management organisational structure for the prevention and treatment of VTE,carry out VTE training on a regular basis,set up a VTE information system,define a standardised VTE risk assessment process,and enhance the sensitivity of the medical staff to the patient's abnormalities.
