Cargando…

Improving adherence to venous thromoembolism prophylaxis using multiple interventions

OBJECTIVE: In hospital, deep vein thrombosis (DVT) increases the morbidity and mortality in patients with acute medical illness. DVT prophylaxis is well known to be effective in preventing venous thromoembolism (VTE). However, its use remains suboptimal. The objective of this study was to evaluate t...

Descripción completa

Detalles Bibliográficos
Autores principales: Al-Tawfiq, Jaffar A., Saadeh, Bassam M.
Formato: Texto
Lenguaje:English
Publicado: Medknow Publications 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3081561/
https://www.ncbi.nlm.nih.gov/pubmed/21572697
http://dx.doi.org/10.4103/1817-1737.78425
_version_ 1782202227620839424
author Al-Tawfiq, Jaffar A.
Saadeh, Bassam M.
author_facet Al-Tawfiq, Jaffar A.
Saadeh, Bassam M.
author_sort Al-Tawfiq, Jaffar A.
collection PubMed
description OBJECTIVE: In hospital, deep vein thrombosis (DVT) increases the morbidity and mortality in patients with acute medical illness. DVT prophylaxis is well known to be effective in preventing venous thromoembolism (VTE). However, its use remains suboptimal. The objective of this study was to evaluate the impact of quality improvement project on adherence with VTE prophylaxis guidelines and on the incidence of hospital-acquired VTEs in medical patients. METHODS: The study was conducted at Saudi Aramco Medical Services Organization from June 2008 to August 2009. Quality improvement strategies included education of physicians, the development of a protocol, and weekly monitoring of compliance with the recommendations for VTE prophylaxis as included in the multidisciplinary rounds. A feedback was provided whenever a deviation from the protocol occurs. RESULTS: During the study period, a total of 560 general internal medicine patients met the criteria for VTE prophylaxis. Of those, 513 (91%) patients actually received the recommended VTE prophylaxis. The weekly compliance rate in the initial stage of the intervention was 63% (14 of 22) and increased to an overall rate of 100% (39 of 39) (P = 0.002). Hospital-acquired DVT rate was 0.8 per 1000 discharges in the preintervention period and 0.5 per 1000 discharges in the postintervention period, P = 0.51. However, there was a significant increase in the time-free period of the VTE and we had 11 months with no single DVT. CONCLUSION: In this study, the use of multiple interventions increased VTE prophylaxis compliance rate.
format Text
id pubmed-3081561
institution National Center for Biotechnology Information
language English
publishDate 2011
publisher Medknow Publications
record_format MEDLINE/PubMed
spelling pubmed-30815612011-05-13 Improving adherence to venous thromoembolism prophylaxis using multiple interventions Al-Tawfiq, Jaffar A. Saadeh, Bassam M. Ann Thorac Med Original Article OBJECTIVE: In hospital, deep vein thrombosis (DVT) increases the morbidity and mortality in patients with acute medical illness. DVT prophylaxis is well known to be effective in preventing venous thromoembolism (VTE). However, its use remains suboptimal. The objective of this study was to evaluate the impact of quality improvement project on adherence with VTE prophylaxis guidelines and on the incidence of hospital-acquired VTEs in medical patients. METHODS: The study was conducted at Saudi Aramco Medical Services Organization from June 2008 to August 2009. Quality improvement strategies included education of physicians, the development of a protocol, and weekly monitoring of compliance with the recommendations for VTE prophylaxis as included in the multidisciplinary rounds. A feedback was provided whenever a deviation from the protocol occurs. RESULTS: During the study period, a total of 560 general internal medicine patients met the criteria for VTE prophylaxis. Of those, 513 (91%) patients actually received the recommended VTE prophylaxis. The weekly compliance rate in the initial stage of the intervention was 63% (14 of 22) and increased to an overall rate of 100% (39 of 39) (P = 0.002). Hospital-acquired DVT rate was 0.8 per 1000 discharges in the preintervention period and 0.5 per 1000 discharges in the postintervention period, P = 0.51. However, there was a significant increase in the time-free period of the VTE and we had 11 months with no single DVT. CONCLUSION: In this study, the use of multiple interventions increased VTE prophylaxis compliance rate. Medknow Publications 2011 /pmc/articles/PMC3081561/ /pubmed/21572697 http://dx.doi.org/10.4103/1817-1737.78425 Text en © Annals of Thoracic Medicine http://creativecommons.org/licenses/by/2.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Al-Tawfiq, Jaffar A.
Saadeh, Bassam M.
Improving adherence to venous thromoembolism prophylaxis using multiple interventions
title Improving adherence to venous thromoembolism prophylaxis using multiple interventions
title_full Improving adherence to venous thromoembolism prophylaxis using multiple interventions
title_fullStr Improving adherence to venous thromoembolism prophylaxis using multiple interventions
title_full_unstemmed Improving adherence to venous thromoembolism prophylaxis using multiple interventions
title_short Improving adherence to venous thromoembolism prophylaxis using multiple interventions
title_sort improving adherence to venous thromoembolism prophylaxis using multiple interventions
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3081561/
https://www.ncbi.nlm.nih.gov/pubmed/21572697
http://dx.doi.org/10.4103/1817-1737.78425
work_keys_str_mv AT altawfiqjaffara improvingadherencetovenousthromoembolismprophylaxisusingmultipleinterventions
AT saadehbassamm improvingadherencetovenousthromoembolismprophylaxisusingmultipleinterventions