A process approach to managing the quality and safety of patients with superficial thrombophlebitis of the lower extremities against the background of varicose disease of the lower extremities

Yu. E Voskanyan; Восканян Ю. Э; K. N Nikolaev; Николаев К. Н; S. I Kurdyukov; Курдюков С. И; E. A Golubov; Голубов Е. А; R. A Chemurziev; Чемурзиев Р. А; Yu. R Alborov; Алборов Ю. Р

doi:10.17816/RMMJ82421

A process approach to managing the quality and safety of patients with superficial thrombophlebitis of the lower extremities against the background of varicose disease of the lower extremities

Authors: Voskanyan Y.E¹, Nikolaev K.N², Kurdyukov S.I³, Golubov E.A⁴, Chemurziev R.A⁵, Alborov Y.R⁴
Affiliations:
1. Russian Medical Academy of Continuing Professional Education of the Ministry of Health of the Russian Federation
2. the S.M.Kirov Military Medical Academy
3. Moscow Academy of Internal Affairs
4. The Main Military Clinical Hospital of the National Guard of the Russian Federation
5. Stavropol State Medical University of the Ministry of Health of the Russian Federation
Issue: Vol 341, No 9 (2020)
Pages: 58-61
Section: Articles
URL: https://journals.eco-vector.com/0026-9050/article/view/82421
DOI: https://doi.org/10.17816/RMMJ82421
ID: 82421

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Abstract

The results of the treatment of 153 outpatients and inpatients (2005-2011) with varicose veins of the lower extremities complicated by superficial thrombophlebitis, which, depending on the duration of the operation, were divided into three groups. In the 1st (n=46) radical phlebectomy was performed as soon as possible from the onset of the disease, in the 2nd (n=31) radical phlebectomy was performed up to 14 days from the onset of the disease, in the 3rd (n=76) patients received conservative treatment followed by a delayed operation. A standardized approach to the choice of tactics and treatment planning was applied in all groups based on process analysis, network planning of examination and treatment, measurement of process indicators, and performance indicators. The nearest results were studied up to 75 days, long - term - up to 5 years. The best results soon were in the 3rd group. According to long - term results, no significant intergroup differences were revealed.

Keywords

superficial thrombophlebitis of the lower extremities’ veins, varicose veins of the lower extremities, venous thromboembolism, safety of medical care, and quality management of medical care

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References

Восканян Ю.Э. Безопасность пациентов и связанные с ней неблагоприятные события в медицине // Ангиология и сосуд. хир. - 2018. - Т. 24, № 4. - С. 11-18.
Задворная О.Л., Восканян Ю.Э., Шикина И.Б., Борисов К.Н. Социально-экономические аспекты медицинских ошибок в медицинских организация // МИР (Модернизация. Инновации. Развития.). - 2019. - Т. 10, № 1. - С. 99-113.
Российские клинические рекомендации по диагностике, лечению и профилактике венозных тромбоэмболических осложнений (ВТЭО) // Флебология. - 2015. - № 4, Вып. 2. - С. 2-52.
Decousus H., Prandoni P., Mismetti P. et al. Fondaparinux for the treatment of superficial-vein thrombosis in the legs // N. Engl. J. Med. - 2010. - Vol. 363, N 13. - P. 1222-1232.

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A process approach to managing the quality and safety of patients with superficial thrombophlebitis of the lower extremities against the background of varicose disease of the lower extremities

Full Text

Abstract

Keywords

Full Text

About the authors

Yu. E Voskanyan

K. N Nikolaev

S. I Kurdyukov

E. A Golubov

R. A Chemurziev

Yu. R Alborov

References

Supplementary files

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