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

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.

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