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Improving SCD compliance in trauma patients at Kings County Hospital Center: a quality improvement report

Venous thromboembolism (VTE) is the fourth most commonly reported complication in trauma patients. For these patients, thromboprophylaxis is a standard of care. Patient compliance with sequential compression devices (SCDs), a form of mechanical VTE prophylaxis, has been a focus of efforts to improve...

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Autores principales: Hamid, Safraz, Gallo Marin, Benjamin, Smith, Leanna, Agyeman-Kagya, Kwasi, George, Christopher, Wetzler, Tara, Badami, Abbasali, Gendy, Adam, Roudnitsky, Valery
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7798780/
https://www.ncbi.nlm.nih.gov/pubmed/33419735
http://dx.doi.org/10.1136/bmjoq-2020-001171
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author Hamid, Safraz
Gallo Marin, Benjamin
Smith, Leanna
Agyeman-Kagya, Kwasi
George, Christopher
Wetzler, Tara
Badami, Abbasali
Gendy, Adam
Roudnitsky, Valery
author_facet Hamid, Safraz
Gallo Marin, Benjamin
Smith, Leanna
Agyeman-Kagya, Kwasi
George, Christopher
Wetzler, Tara
Badami, Abbasali
Gendy, Adam
Roudnitsky, Valery
author_sort Hamid, Safraz
collection PubMed
description Venous thromboembolism (VTE) is the fourth most commonly reported complication in trauma patients. For these patients, thromboprophylaxis is a standard of care. Patient compliance with sequential compression devices (SCDs), a form of mechanical VTE prophylaxis, has been a focus of efforts to improve patient safety. At our institution, a baseline audit in July 2020 revealed that patients admitted to the trauma floors have poor compliance with the use of SCDs. In this quality improvement project, we developed a patient education intervention to improve SCD compliance. We distributed an informational flyer to patients and led short educational sessions on VTE risk factors and proper SCD use. Our aim was to increase our SCD compliance rate by 30% in 4 weeks. We used three plan-do-study-act (PDSA) cycles to implement and refine our intervention. We measured SCD compliance during morning and afternoon patient observations and generated run charts to understand how our cycles were leading to change. After a 4-week period, we did not achieve our aim, but increased our overall compliance from 45% to 60% and sustained this improvement throughout our PDSA cycles. Morning compliance was lower than afternoon compliance both at baseline (45% vs 48.5%) and at the end the project (45% vs 53%). Our results suggest that patient education should be coupled with interventions that address other barriers to SCD compliance.
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spelling pubmed-77987802021-01-21 Improving SCD compliance in trauma patients at Kings County Hospital Center: a quality improvement report Hamid, Safraz Gallo Marin, Benjamin Smith, Leanna Agyeman-Kagya, Kwasi George, Christopher Wetzler, Tara Badami, Abbasali Gendy, Adam Roudnitsky, Valery BMJ Open Qual Quality Improvement Report Venous thromboembolism (VTE) is the fourth most commonly reported complication in trauma patients. For these patients, thromboprophylaxis is a standard of care. Patient compliance with sequential compression devices (SCDs), a form of mechanical VTE prophylaxis, has been a focus of efforts to improve patient safety. At our institution, a baseline audit in July 2020 revealed that patients admitted to the trauma floors have poor compliance with the use of SCDs. In this quality improvement project, we developed a patient education intervention to improve SCD compliance. We distributed an informational flyer to patients and led short educational sessions on VTE risk factors and proper SCD use. Our aim was to increase our SCD compliance rate by 30% in 4 weeks. We used three plan-do-study-act (PDSA) cycles to implement and refine our intervention. We measured SCD compliance during morning and afternoon patient observations and generated run charts to understand how our cycles were leading to change. After a 4-week period, we did not achieve our aim, but increased our overall compliance from 45% to 60% and sustained this improvement throughout our PDSA cycles. Morning compliance was lower than afternoon compliance both at baseline (45% vs 48.5%) and at the end the project (45% vs 53%). Our results suggest that patient education should be coupled with interventions that address other barriers to SCD compliance. BMJ Publishing Group 2021-01-08 /pmc/articles/PMC7798780/ /pubmed/33419735 http://dx.doi.org/10.1136/bmjoq-2020-001171 Text en © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/ http://creativecommons.org/licenses/by-nc/4.0/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, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
spellingShingle Quality Improvement Report
Hamid, Safraz
Gallo Marin, Benjamin
Smith, Leanna
Agyeman-Kagya, Kwasi
George, Christopher
Wetzler, Tara
Badami, Abbasali
Gendy, Adam
Roudnitsky, Valery
Improving SCD compliance in trauma patients at Kings County Hospital Center: a quality improvement report
title Improving SCD compliance in trauma patients at Kings County Hospital Center: a quality improvement report
title_full Improving SCD compliance in trauma patients at Kings County Hospital Center: a quality improvement report
title_fullStr Improving SCD compliance in trauma patients at Kings County Hospital Center: a quality improvement report
title_full_unstemmed Improving SCD compliance in trauma patients at Kings County Hospital Center: a quality improvement report
title_short Improving SCD compliance in trauma patients at Kings County Hospital Center: a quality improvement report
title_sort improving scd compliance in trauma patients at kings county hospital center: a quality improvement report
topic Quality Improvement Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7798780/
https://www.ncbi.nlm.nih.gov/pubmed/33419735
http://dx.doi.org/10.1136/bmjoq-2020-001171
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