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首页> 外文期刊>Journal of thrombosis and thrombolysis >Anticoagulation services: quality improvement direction pursuing a certification process. Anticoagulation Provider Certification Working Group.
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Anticoagulation services: quality improvement direction pursuing a certification process. Anticoagulation Provider Certification Working Group.

机译：抗凝服务：追求认证过程的质量改进方向。抗凝提供者认证工作组。

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There is still in a certification process for anticoagulant therapy providers. The primary, and certainly most important, goal is to improve patient care. Defining measurable competencies to which the anticoagulation provider is made accountable is but one mechanism to help improve quality in patient care. Great improvements have been achieved in the field of anticoagulation. For example, determining optimum intensity levels, for the traditional as well as the newer indications for treatment, have yielded greater efficacy and safety. Additionally, the acceptance of the INR reporting system has greatly reduced hemorrhagic and thromboembolic complications. However, the process of care, that is, how patients are managed and by whom, remains a variable that is difficult to quantify and measure. Anticoagulation providers are comprised of professionals from three major disciplines, namely, medicine, nursing, and pharmacy. This multidisciplinary approach enriches the quality of care for patients. However, this very fact presents a dilemma when seeking an appropriate certifying body. Nevertheless, keeping quality patient care as the primary focus, a multidisciplinary group has developed a body of knowledge that is unique to anticoagulant and antithrombotic therapies. The foundation of this project stems from the Fourth American College of Chest Physicians Consensus Conference on Antithrombotic Therapy and the recently published paper by Ansell et al. on consensus guidelines for coordinated outpatient oral anticoagulation therapy management. This work in progress includes a mission statement and outlines five major knowledge domains along with measurable competencies for each section. This effort will help standardized the process of care across the country.
机译：抗凝治疗提供者仍处于认证过程中。主要也是肯定最重要的目标是改善患者护理。定义使抗凝提供者承担责任的可衡量能力只是帮助提高患者护理质量的一种机制。在抗凝领域已经取得了很大的进步。例如，针对传统以及较新的适应症确定最佳强度水平已产生了更高的功效和安全性。此外，INR报告系统的接受大大减少了出血和血栓栓塞并发症。但是，护理过程，即如何管理患者以及由谁管理，仍然是一个难以量化和衡量的变量。抗凝提供者由来自三个主要学科的专业人员组成，即医学，护理和药学。这种多学科的方法丰富了患者的护理质量。但是，这一事实在寻求适当的认证机构时带来了两难选择。尽管如此，将高质量的患者护理作为主要重点，一个多学科小组已经开发出了一系列针对抗凝和抗血栓形成疗法的知识。该项目的基础来自第四届美国胸科医师学院抗栓治疗共识会议以及Ansell等人最近发表的论文。协调门诊口服抗凝治疗管理的共识指南。正在进行的这项工作包括任务说明，并概述了五个主要知识领域以及每个部分的可衡量能力。这项工作将有助于在全国范围内规范护理过程。

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