C7：如何转变产能和能力.pdf

1、Chain ChanceEnhancing Early Recognition of Aneurysms through a collaborative approach in the Healthcare Chain and patientsSonja OomkensAnnelies Visser23 may 2025AAA ranks 2 in the top 6 reported incidents Out-of-hours service(GP)Impending rupture of an AAARecognition of risks and symptoms are diffic

2、ultEarly recognition throughout the care chainIncidence AAA8-9%Mortality-ruptured AAA 80-90%Mortality-on time at the hospital 25%Abdominal AneurysmAcutely severe abdominal and/or back painNot explainable by another causeVegetative symptoms;sweating,vomiting,unsteady walkingWhich may quickly subside

3、after onsetMale patients over the age of 60Symptoms can be intermittent and nonspecificChain Chance AAANijmegenGroningenRotterdam3x2x1xChainGPTriageAmbulanceERSurgeonAction researchProblemAnalysisBarriersFacilitatorsImplementationStrategiesEvaluationLessonsAdaptExperiment!InterventionsTrainings and

4、knowledge sessions Pre hospital ultrasoundsInterventionsTrainings and knowledge sessions Pre hospital ultrasoundsToolbox and PodcastCross-sectoral work agreementsResults AAATraining rated 4.5/5 on average The cross-sectional work agreement Patient story Repeated training Training in the chainA toolb

5、ox to spread this knowledge Visual support with infographic for increased understanding across the chainUse of ultrasound at the ER:Imaging for 100%of the presenting complaintsPatient referred by GP for diverticulitis with B transport.I asked the patient about her symptoms early on,and everything so

6、unded familiar from the podcast.I requested an ultrasound immediately in the emergency department because I had a high suspicion of an aneurysm.and indeed,it was correct.So thank you on behalf of the patient!Best,Elise,Ambulance Nurse Increased awareness Resul