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

Abstract

Interventions for implementation of thromboprophylaxis in hospitalized patients at risk for venous thromboembolism (Review)

Association Between Inpatient Surveillance and Venous Thromboembolism Rates After Hospital Discharge

“…11 De-spite the use of evidence-based guidelines in the creation of SCIP measures, studies [12][13][14] have failed to show that adherence to SCIP-VTE measures reduce postoperative VTE rates. Evidence demonstrates that process measures such as SCIP have not yielded the intended reduction in the numbers of complications, and consequently the Affordable Care Act has shifted the focus toward outcomes as a more relevant measure of surgical quality.…”

Venous Thromboembolism Prophylaxis on General Internal Medicine Units: Are Patients Well Served by Current Practice?

“…Les événements indésirables étaient moins fréquents chez les patients ayant reçu une prophylaxie adéquate de la TEV que chez ceux ayant reçu une INTRODUCTION V enous thromboembolism (VTE), comprising deep vein thrombosis and pulmonary embolism, is the third most common cardiovascular disease after myocardial infarction and stroke. 1 Admission to hospital increases an individual's risk for VTE 8-fold, and VTE is the most common preventable cause of death in hospitals [2][3][4][5] ; as such, VTE prophylaxis is ranked the number 1 patient safety intervention by the US Agency for Healthcare Research and Quality. 3,6 Accordingly, implementation of VTE prophylaxis is necessary for institutional accreditation through Accreditation Canada.…”

“…3,6 Accordingly, implementation of VTE prophylaxis is necessary for institutional accreditation through Accreditation Canada. 2,3,5,7 Accreditation Canada allows institutions to set their own VTE prophylaxis targets, with no minimum target. Alberta Health Services (AHS) has established a target of providing appropriate VTE prophylaxis to 85% of eligible patients, to be achieved by each institution within the province.…”

Prevention of Venous Thromboembolism in Individuals with Spinal Cord Injury: Clinical Practice Guidelines for Health Care Providers, 3rd ed.

“…Therefore, we recommend routine thromboprophylaxis appropriate for the clinical setting when chronic SCI patients are readmitted (Kahn, 2012;Gould, 2012;Falck-Ytter, 2012 The creation of clinical practice guidelines in this area would not be complete without consideration of how to incorporate these guidelines into routine practice. A number of studies have demonstrated that multicomponent interventions increase the prescribing of thromboprophylaxis (Burns, 2005;Tooher, 2005;Mahan, 2010, Kahn, 2013Lau, 2014;Maynard, 2015). In the SCI patient population, publication of guidelines related to thromboprophylaxis had little impact on adherence, while the use of standard order sets and documentation templates along with social marketing/outreach visits resulted in improved adherence (Burns, 2005).…”