基于绿色通道的溶栓医疗质量持续改进模式--一种新型且有效的血管神经病学医师继续教育方式

摘要

目的探讨基于绿色通道的溶栓医疗质量持续改进模式对血管神经病学医师的继续教育作用及其成效分析。　　方法对2012年1月-2012年12月和2014年1月-2014年12月2个时间段血管神经病学医师给予持续的溶栓医疗质量持续改进模式继续教育干预，评价这2个时间段血管神经病学医师在急诊绿色通道静脉溶栓患者治疗率的差异。　　结果通过基于绿色通道的溶栓医疗质量持续改进模式的继续教育制度，我院血管神经病学医师急诊静脉溶栓的治疗率有显著改善（33.5%vs 15.3%，P＜0.001）。　　结论基于绿色通道的溶栓医疗质量持续改进模式是一种新型且有效的血管神经病学医师继续教育方式。%Objective To investigate the educational effectiveness of the mode of continuous quality improvement (CQI) of thrombolysis based on the green channel in emergency department. Methods Continuing education and training were given to all the vascular neurologists who participated in the acute stroke team in 2012 and 2014 by the mode of CQI of thrombolysis based on the green channel. The rate difference of intravenous thrombolysis between the two periods was evaluated. Results Through the continuing education and training by the mode of CQI of thrombolysis based on the green channel, the rate of intravenous thrombolysis was signiifcantly improved (33.5%vs 15.3%, P<0.001). Conclusion The mode of CQI of thrombolysis based on the green channel in emergency department is an effective new way of continuing education and training for vascular neurologists.