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Improving venous thromboembolism risk assessment rates in a tertiary urology department
Venous thromboembolism (VTE) is a significant cause of mortality and morbidity among hospitalised patients. A VTE risk assessment reduces this through facilitating correct prophylaxis. Since 2010, the Commissioning for Quality and Innovation payments framework dictates that >95% adult inpatients...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5699160/ https://www.ncbi.nlm.nih.gov/pubmed/29450297 http://dx.doi.org/10.1136/bmjoq-2017-000171 |
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author | Mabey, Elizabeth Ismail, Samiha Tailor, Falguni |
author_facet | Mabey, Elizabeth Ismail, Samiha Tailor, Falguni |
author_sort | Mabey, Elizabeth |
collection | PubMed |
description | Venous thromboembolism (VTE) is a significant cause of mortality and morbidity among hospitalised patients. A VTE risk assessment reduces this through facilitating correct prophylaxis. Since 2010, the Commissioning for Quality and Innovation payments framework dictates that >95% adult inpatients must have a VTE risk assessment within 24 hours of admission. This target is not currently being met by the urology department at Guy’s and St. Thomas’ Trust (GSTT). Following analysis, a quality improvement project aimed to increase VTE risk assessment rates for patients admitted under urology at GSTT. Two series of interventions were introduced following the Plan, Do, Study, Act structure aimed at urology theatres and wards, respectively. These boosted awareness of the VTE risk assessment and streamlined it into routine surgical workload. Despite not reaching the 95% target, the project increased rates among patients admitted directly to surgical units by 5%–8%. It highlighted the difficulties in driving a change in established routine and demonstrated a need for firmer interventions with effective communication. |
format | Online Article Text |
id | pubmed-5699160 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-56991602018-02-15 Improving venous thromboembolism risk assessment rates in a tertiary urology department Mabey, Elizabeth Ismail, Samiha Tailor, Falguni BMJ Open Qual BMJ Quality Improvement Report Venous thromboembolism (VTE) is a significant cause of mortality and morbidity among hospitalised patients. A VTE risk assessment reduces this through facilitating correct prophylaxis. Since 2010, the Commissioning for Quality and Innovation payments framework dictates that >95% adult inpatients must have a VTE risk assessment within 24 hours of admission. This target is not currently being met by the urology department at Guy’s and St. Thomas’ Trust (GSTT). Following analysis, a quality improvement project aimed to increase VTE risk assessment rates for patients admitted under urology at GSTT. Two series of interventions were introduced following the Plan, Do, Study, Act structure aimed at urology theatres and wards, respectively. These boosted awareness of the VTE risk assessment and streamlined it into routine surgical workload. Despite not reaching the 95% target, the project increased rates among patients admitted directly to surgical units by 5%–8%. It highlighted the difficulties in driving a change in established routine and demonstrated a need for firmer interventions with effective communication. BMJ Publishing Group 2017-11-12 /pmc/articles/PMC5699160/ /pubmed/29450297 http://dx.doi.org/10.1136/bmjoq-2017-000171 Text en © Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/ This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ |
spellingShingle | BMJ Quality Improvement Report Mabey, Elizabeth Ismail, Samiha Tailor, Falguni Improving venous thromboembolism risk assessment rates in a tertiary urology department |
title | Improving venous thromboembolism risk assessment rates in a tertiary urology department |
title_full | Improving venous thromboembolism risk assessment rates in a tertiary urology department |
title_fullStr | Improving venous thromboembolism risk assessment rates in a tertiary urology department |
title_full_unstemmed | Improving venous thromboembolism risk assessment rates in a tertiary urology department |
title_short | Improving venous thromboembolism risk assessment rates in a tertiary urology department |
title_sort | improving venous thromboembolism risk assessment rates in a tertiary urology department |
topic | BMJ Quality Improvement Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5699160/ https://www.ncbi.nlm.nih.gov/pubmed/29450297 http://dx.doi.org/10.1136/bmjoq-2017-000171 |
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