Effect of a Clinical Pharmacy Education Program on Improvement in the Quantity and Quality of Venous Thromboembolism Prophylaxis for Medically Ill Patients

Dobesh, Paul P.; Stacy, Zachary A.

doi:10.18553/jmcp.2005.11.9.755

Cited by 63 publications

(60 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…These studies generally show statistically significant increases in the proportion of patients receiving prophylaxis after the adoption of a QI strategy (Table 3). 13,[23][24][25][26][27][28][29][30] Provider Education…”

Section: Active Qi Strategiesmentioning

confidence: 99%

“…[26][27][28][29][30] A pharmacydriven educational program in a 493-bed US community hospital focusing on the importance of VTE prophylaxis in medically ill patients increased the use of prophylaxis from 43% to 58% (P<.001), of suitable prophylaxis from 38% to 49% (P=.006), and of optimal prophylaxis from 11% to 44% (P<.001). The educational program comprised live educational presentations and newsletters and involved nursing staff, house staff, pharmacists, and physicians.…”

Section: Active Qi Strategiesmentioning

confidence: 99%

“…The educational program comprised live educational presentations and newsletters and involved nursing staff, house staff, pharmacists, and physicians. 28 The Joint Commission consensus standards include the provision of a provider education system that encompasses all aspects of VTE prevention. Provider awareness and knowledge of VTE, and its prevention should be starting points of any QI initiative.…”

Section: Active Qi Strategiesmentioning

confidence: 99%

“…7 In the Tooher et al review, most of the QI studies were performed in surgical patients. 8 However, several more recently published initiatives have focused on medical patients [26][27][28][29][30] (Table 3). A highly successful multifaceted strategy for improving appropriate VTE prophylaxis in medical patients combined education, dissemination of a decision support tool, and regular audit-and-feedback for resident physicians.…”

Section: Qi Initiatives For Preventing Vte In Surgical or Medical Patmentioning

confidence: 99%

See 3 more Smart Citations

Bridging the Gap Between Evidence and Practice in Venous Thromboembolism Prophylaxis: The Quality Improvement Process

Michota

2007

J GEN INTERN MED

View full text Add to dashboard Cite

Venous thromboembolism (VTE) is considered to be the most common preventable cause of hospital-related death. Hospitalized patients undergoing major Surgery and hospitalized patients with acute medical illness have an increased risk of VTE. Although there is overwhelming evidence for the need and efficacy of VTE prophylaxis in patients at risk, only about a third of those who are at risk of VTE receive appropriate prophylaxis. To address the shortfall in VTE prophylaxis, the US Joint Commission and the National Quality Forum (NQF) endorse standardized VTE prophylaxis practices, and are identifying and testing measures to monitor these standards. Hospitals in the USA accredited by Centers for Medicare and Medicaid Services to receive medicare patients will need VTE prophylaxis programs in place to conform to these national consensus standards. This review aims to give background information on initiatives to improve the prevention of VTE and to identify key features of a successful quality improvement strategy for prevention of VTE in the hospital. A literature review shows that the key features of effective quality improvement strategies includes an active strategy, a multifaceted approach, and a continuous iterative process of audit and feedback. Risk assessment models may be helpful for deciding which patients should receive prophylaxis and for matching VTE risk with the appropriate intensity of prophylaxis. This approach should assist in implementing the NQF/Joint Commission-endorsed standards, as well as increase the use of appropriate VTE prophylaxis.

show abstract

Section: Active Qi Strategiesmentioning

confidence: 99%

Section: Active Qi Strategiesmentioning

confidence: 99%

Section: Active Qi Strategiesmentioning

confidence: 99%

Section: Qi Initiatives For Preventing Vte In Surgical or Medical Patmentioning

confidence: 99%

See 2 more Smart Citations

Bridging the Gap Between Evidence and Practice in Venous Thromboembolism Prophylaxis: The Quality Improvement Process

Michota

2007

J GEN INTERN MED

View full text Add to dashboard Cite

show abstract

“…3 The underuse of appropriate venous thromboembolism prophylaxis has been well documented, and hospitals have tried a variety of strategies to improve their rates of prophylaxis, including utilization of computerized alerts to physicians. [4][5][6][7][8] Several actions had been attempted previously at this institution to increase both the quantity and quality of venous thromboembolism prophylaxis (Figure 1). In 2004, only 43% of medical patients received venous thromboembolism prophylaxis.…”

Section: Introductionmentioning

confidence: 99%

Impact of a Student-Supported Pharmacy Assessment Program on Venous Thromboembolism Prophylaxis Rates in Hospitalized Patients

Butkievich

Stacy²,

Daly³

et al. 2010

American Journal of Pharmaceutical Education

Self Cite

View full text Add to dashboard Cite

Objectives. To determine if the addition of a student-supported venous thromboembolism risk assessment strategy could improve rates of venous thromboembolism prophylaxis at a community teaching hospital. Methods. After receiving education and training on venous thromboembolism risk assessment, students assessed patients and recommended therapy in a 493-bed community teaching hospital over 5 weeks. Both the quantity and quality of venous thromboembolism prophylaxis were measured and compared to a baseline rate. Results. One hundred three recommendations were made to physicians with a 41% acceptance rate. Compared to previous rates, the percentages of patients receiving ''any,'' ''suitable,'' and ''optimal'' venous thromboembolism prophylaxis increased from 70.5% to 82.7% (p 5 0.0005), 64.4% to 75.9% (p 5 0.0022), and 56.3% to 68.5% (p 5 0.0022), respectively. Conclusions. A student-supported venous thromboembolism risk assessment strategy resulted in an increase in venous thromboembolism prophylaxis rates and could be used as a model for other institutions to integrate students into population-based care.

show abstract

Interventions for implementation of thromboprophylaxis in hospitalized medical and surgical patients at risk for venous thromboembolism

Kahn

Morrison

Cohen

et al. 2013

Cochrane Database of Systematic Reviews

View full text Add to dashboard Cite

show abstract

Effect of a Clinical Pharmacy Education Program on Improvement in the Quantity and Quality of Venous Thromboembolism Prophylaxis for Medically Ill Patients

Abstract: A hospital-wide clinical pharmacy education program was associated with significant improvement in the quantity and quality of VTE prophylaxis in medically ill patients in a community teaching hospital.

Cited by 63 publications

References 37 publications

Bridging the Gap Between Evidence and Practice in Venous Thromboembolism Prophylaxis: The Quality Improvement Process

Bridging the Gap Between Evidence and Practice in Venous Thromboembolism Prophylaxis: The Quality Improvement Process

Impact of a Student-Supported Pharmacy Assessment Program on Venous Thromboembolism Prophylaxis Rates in Hospitalized Patients

Interventions for implementation of thromboprophylaxis in hospitalized medical and surgical patients at risk for venous thromboembolism

Contact Info

Product

Resources

About