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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...

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Autores principales: Mabey, Elizabeth, Ismail, Samiha, Tailor, Falguni
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2017
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.
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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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