Study on the impacts of implementing clinical care classification system on the venous thromboembolism management among inpatients: an interrupted time series analysis
10.3760/cma.j.cn211501-20231106-00933
- VernacularTitle:临床照护分类系统对住院患者静脉血栓栓塞症管理的影响研究：基于中断时间序列分析
- Author:
Yuqi SHI
1
;
Yuxia ZHANG
;
Zhenghong YU
;
Yamin YAN
Author Information
1. 复旦大学附属中山医院护理部，上海 200032
- Keywords:
Venous thromboembolism;
Nursing administration research;
Inpatients;
Clinical care classification;
Interrupted time series
- From:
Chinese Journal of Practical Nursing
2024;40(22):1710-1718
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the changes in the variables of venous thromboembolism (VTE) management among inpatients after implementing clinical care classification (CCC) system, and to explore the impacts.Methods:This was a quasi experimental study. Based on the network monitoring data in Zhongshan Hospital, Fudan University, all the inpatients were included in this study from January 2022 to June 2023. According to the date of implementing CCC, we took July 2022 as the intervention cut-off point, and two phases of pre-CCC (January 2022 to June 2022) and post-CCC (July 2022 to June 2023) were defined. The interrupted time series (ITS) analysis was used to evaluate the impacts of implementing CCC system on VTE management among inpatients.Results:ITS analysis showed that in the period of post-CCC (August 2022 to June 2023), the slope of VTE evaluation rate was 0.000 415 5, with a significant upward trend ( t=2.49, P<0.05). In the month of CCC system launched (July 2022), the implementation rate of VTE preventive measures increased significantly, with a significant statistical difference ( t=3.10, P<0.05). In the post-CCC phase (August 2022 to June 2023), the slope of VTE preventive measures implementation rate was -0.012 876, with no significant statistical difference ( P>0.05). The implementation of CCC system had no significant impacts on the overall and high-risk incidence of VTE among inpatients. Conclusions:After the implementation of the CCC system, the VTE evaluation rate of inpatients increased significantly, which suggesting that the CCC system standardized the clinical VTE management among inpatients.
