Rethinking Guidelines for VTE Risk Among Nursing Home Residents: A Population-Based Study Merging Medical Record Detail With Standardized Nursing Home Assessments

Cynthia L. Leibson; Tanya M. Petterson; Carin Y. Smith; Kent R. Bailey; Jane A. Emerson; Aneel A. Ashrani; Paul Y. Takahashi; John A. Heit

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Rethinking Guidelines for VTE Risk Among Nursing Home Residents: A Population-Based Study Merging Medical Record Detail With Standardized Nursing Home Assessments

机译：养老院居民中VTE风险的重新思考指南：一项基于人口的研究，将病历细节与标准化的养老院评估相结合

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VTE, including DVT and pulmonary embolism (PE), is relatively common, potentially life threatening, and costly.

机译：包括DVT和肺栓塞（PE）在内的VTE相对较常见，可能危及生命，且成本高昂。

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《Chest》 |2014年第2期|共10页
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Cynthia L. Leibson; Tanya M. Petterson; Carin Y. Smith; Kent R. Bailey; Jane A. Emerson; Aneel A. Ashrani; Paul Y. Takahashi; John A. Heit;
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中图分类呼吸系及胸部疾病;
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1. Rethinking guidelines for VTE risk among nursing home residents: A population-based study merging medical record detail with standardized nursing home assessments [J] . LeibsonC.L., PettersonT.M., SmithC.Y., Chest: The Journal of Circulation, Respiration and Related Systems . 2014,第2期

机译：重新思考疗养院居民中VTE风险的指南：一项基于人群的研究，将病历细节与标准化的疗养院评估相结合
2. Rethinking guidelines for VTE risk among nursing home residents: A population-based study merging medical record detail with standardized nursing home assessments [J] . LeibsonC.L., PettersonT.M., SmithC.Y., Chest: The Journal of Circulation, Respiration and Related Systems . 2014,第2期

机译：重新思考疗养院居民中VTE风险的指南：一项基于人群的研究，将病历细节与标准化的疗养院评估相结合
3. A.Martin1,N.Boyle2,J.Cooke3,S.P.Kennelly4,R.Martin5,M.Mulroy6,M.O’Connor7,S.O'Keeffe8,D.O’Neill4OnbehalfoftheIrishSocietyofPhysiciansinGeriatricMedicine.1.BeaumontHospital,Dublin.2.St.Vincent’sUniversityHospital,Dublin.3.UniversityHospitalWaterford.4.TallaghtUniversityHospital,Dublin.5.ConnollyHospital,Dublin.6.OurLadyofLourdesHospital,Drogheda.7.CorkUniversityHospital.8.GalwayUniversityHospital.AbstractResidents in nursing home care have borne a disproprtionate morbidity and mortality in the COVID-19 pandemic in comparison to the general population. Although the high rate of infection, morbidity and mortality in older people living in nursing homes may be attributable to increased levels of frailty and comorbidity in residents, the physical infrastructure and governance structures within nursing homes is also likely to be highly significant. The authors present, on behalf of Irish Society of Physicians in Geriatric Medicine, a position paper on changes that should be implemented to enhance the safety and quality of care for nursing home residents in Ireland. IntroductionResidentsinnursinghomesrepresentagroupwithhighlevelsofdisabilityandco-morbiditywhichrenderthemparticularlyvulnerabletoexternalandinternalstressors1,asexemplifiedbythehighdeathrateinIrishnursinghomesduringtheCOVID-19pandemic.Atthelastcensusin2016were22,762peopleover65yearsofage(3.7%)listedasresidentinnursinghomesinIreland2.Althoughthiswasadecreaseintheproportionoftheolderpopulationinresidentialcarefrom2011itreflectsanactualincreaseof9.4%inpeoplelivinginnursinghomesinthiscountry.Asoursocietyagesitwillbeincreasinglyimportanttoprovidehighqualitycareforthisvulnerablegroup.TheIrishSocietyofPhysiciansinGeriatricMedicine(ISPGM)haspromotedthedevelopmentofimprovedstandardsofcareinresidentialcareforseveraldecadesandwasthefirstIrishprofessionalgrouptoformulateimprovedstandardsofcarein2001,publishedintheIrishMedicalJournal3. [J] . Irish medical journal. . 2020,第9期

机译：A.Martin1，N.Boyle2，J.Cooke3，SPKennelly4，R.Martin5，M.Mulroy6，M.O'Connor7，S.O'Keeffe8，D.O'Neill4OnbehalfoftheIrishSocietyofPhysiciansinGeriatricMedicine.1.BeaumontHospital，Dublin.2.St .Vincent'sUniversityHospital，Dublin.3.UniversityHospitalWaterford.4.TallaghtUniversityHospital，Dublin.5.ConnollyHospital，Dublin.6.OurLadyofLourdesHospital，在家庭护理Drogheda.7.CorkUniversityHospital.8.GalwayUniversityHospital.AbstractResidents已经结出一个disproprtionate发病率和死亡率在COVID-19大流行相比于普通人群。虽然感染，发病率和死亡率在生活在养老院的老年人率高可能是由于增加了居民的脆弱性和合并症的水平，养老院内的物理基础设施和治理结构，也可能是非常显著。作者提出，对应该实施，加强安全和医疗质量养老院在爱尔兰的变化代表在老年医学，意见书医生的爱尔兰社会。 IntroductionResidentsinnursinghomesrepresentagroupwithhighlevelsofdisabilityandco-morbiditywhichrenderthemparticularlyvulnerabletoexternalandinternalstressors1，asexemplifiedbythehighdeathrateinIrishnursinghomesduringtheCOVID-19pandemic.Atthelastcensusin2016were22,762peopleover65yearsofage（3.7％）listedasresidentinnursinghomesinIreland2.Althoughthiswasadecreaseintheproportionoftheolderpopulationinresidentialcarefrom2011itreflectsanactualincreaseof9.4％inpeoplelivinginnursinghomesinthiscountry.Asoursocietyagesitwillbeincreasinglyimportanttoprovidehighqualitycareforthisvulnerablegroup.TheIrishSocietyofPhysiciansinGeriatricMedicine（ISPGM）haspromotedthedevelopmentofimprovedstandardsofcareinresidentialcareforseveraldecadesandwasthefirstIrishprofessionalgrouptoformulateimprovedstandardsofcarein2001，publishedintheIrishMedicalJournal3。
4. Medical and Nursing Staff Perspectives on an Electronic Health Record Implementation in Hospital Outpatient Departments A Qualitative Study in Four English Hospital Trusts [C] . Kate Marsden, Tony Avery, Sarah P. Slight, International Conference on Biomedical Electronics and Devices . 2013

机译：医疗和护理人员对医院门诊部门的电子健康记录实施的透视，四个英语医院信托的定性研究
5. Mentoring of medical surgical nurses, assessment of patients, clinical decision-making, cutlural competency, commitment to professional nursing standards, positive feelings about nursing at this hospital, and willingness to remain in the nursing profession [D] . Witter, Jacqueline 2012

机译：指导医疗外科护士，评估患者，临床决策，严格的能力，对专业护理标准的承诺，对这家医院护理的积极感觉以及愿意留在护理行业中
6. Rethinking Guidelines for VTE Risk Among Nursing Home Residents [O] . Cynthia L. Leibson, Tanya M. Petterson, Carin Y. Smith, -1

机译：养老院居民中VTE风险的重新思考指南
7. Compliance with current VTE prophylaxis guidelines and risk factors linked to complications of VTE prophylaxis in medical inpatients: a prospective cohort study in a Spanish internal medicine department [O] . Ignacio Novo-Veleiro, Lucía Alvela-Suárez, Alba Costa-Grille, 2018

机译：符合当前的VTE预防指导方针和危险因素与医疗住院患者的VTE预防并发症相关联：西班牙内科部门的预期队列研究
8. Problem Oriented Medical Record (POMR) Interim Guidelines: Nursing Service. Nursing Process, Nursing Care Plans, Quality Care. [R] . 1975

机译：以问题为导向的病历（pOmR）临时指南：护理服务。护理程序，护理计划，质量保健。

Rethinking Guidelines for VTE Risk Among Nursing Home Residents: A Population-Based Study Merging Medical Record Detail With Standardized Nursing Home Assessments

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