Preventing hospital‐acquired venous thromboembolism: Improving patient safety with interdisciplinary teamwork, quality improvement analytics, and data transparency

Schleyer, Anneliese M.; Robinson, Ellen; Dumitru, Roxana; Taylor, Mark E.; Hayes, Kimberly; Pergamit, Ronald; Beingessner, Daphne M.; Zaros, Mark C.; Cuschieri, Joseph

doi:10.1002/jhm.2664

Cited by 15 publications

(8 citation statements)

References 6 publications

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“…The utilities of acute PE and DVT patients before and after prophylaxis education were 0.750(0.55-0.94) and 0.810(0.45-0.91), while the utility of non-VTE patients before and after prophylaxis education was 0.941 (0.75-1.00) [22][23] , and the upper and lower ranges were assumed as 20%. The probability of suspected VTE patients receiving/not receiving prophylaxis education was 0.096 and 0.150, respectively 24 . The costs were expressed as mean and the ranges were 95% confidence interval (CI).…”

Section: Discussionmentioning

confidence: 99%

Effect of Knowledge Translation on Suspected Venous Thromboembolism in Hospitalized Patients

Peng

Zhang

Zeng

et al. 2021

Preprint

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Background Venous thromboembolism (VTE) is a preventable disease, but the implementing effect of preventive measures is not optimistic, and few patients receive optimal prophylaxis, which result in significant mortality, long-term complications and financial burden. The purpose of the article was to explore the effect of knowledge translation on suspected venous thromboembolism in hospitalized patients on admission.Methods The data of suspected VTE patients on admission was retrospectively collected from the Second Xiangya Hospital from October 2016 to September 2020. The Mann-Whitney test and Fisher’s exact test (or χ 2 test) were used to analyze the continuous and categorical variables. A decision tree model was developed to assess the cost-effectiveness of post-prophylaxis education compared with pre-prophylaxis education. The ranges of each parameter were set to perform sensitivity analysis.Results The awareness of preventable VTE has raised which expressed in the increasing use of Caprini score, incidence of VTE, and department distribution of suspected VTE patients on admission. The incremental cost effectiveness ratio was a negative value which was significantly smaller than willing to pay (WTP). When the WTP value was ¥212676, the probability of patients' acceptance was 84.3% in the post-prophylaxis group and 15.7% in the pre-prophylaxis group. No matter how WTP changed, the cost-effectiveness acceptability of post-prophylaxis education in preventing VTE after hospitalization was better than pre-prophylaxis education did. Conclusion Knowledge translation on VTE could have cost effectiveness on suspected VTE in hospitalized patients on admission.

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Section: Discussionmentioning

confidence: 99%

Effect of Knowledge Translation on Suspected Venous Thromboembolism in Hospitalized Patients

Peng

Zhang

Zeng

et al. 2021

Preprint

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“…12 To date, most data on the topic of VTE and pharmacoprophylaxis has been derived from the in-hospital stay. 12,22,23 Furthermore, most attempts to improve VTE prophylaxis have focused predominantly on in-hospital medication prescription. 24 To this point, publicly reported measures from the Centers for Medicare and Medicaid Services only assess whether a patient received at least 1 dose of VTE prophylaxis within the first day of hospitalization.…”

Section: Discussionmentioning

confidence: 99%

Identification of patients at high risk for post-discharge venous thromboembolism after hepato-pancreato-biliary surgery: which patients benefit from extended thromboprophylaxis?

Beal

Tumin

Chakedis

et al. 2018

HPB

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“…However, VTE prophylaxis can be cost effective, especially when compared to the alternative of no prophylaxis and the potential for DVT or PE occurrence. The Agency for Healthcare Research and Quality (AHRQ) Healthcare Cost and Utilization Project estimates that the inpatient costs of a single DVT or PE are $10,000 and $20,000, respectively [ 101 ]. Cain et al.…”

Section: Discussionmentioning

confidence: 99%

Bladder Cancer Recovery Pathways: A Systematic Review

Maloney

Parker

Cookson

et al. 2017

BLC

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Background:Enhanced recovery pathways, also known as fast-track protocols, have been adopted since the early 2000s by various surgical specialties with the goal of improving patient outcomes and reducing the cost burden of major surgery on the health care system.Objective:To review the scientific literature on the origin of enhanced recovery pathways, track the contemporary utilization of such practices for patients undergoing radical cystectomy, and analyze the available data regarding their effect on morbidity, mortality, and treatment cost.Methods:A literature search of multiple electronic databases was undertaken. Manuscripts including patients undergoing radical cystectomy were chosen based on predefined criteria with an emphasis on randomized controlled trials and cohort studies. Strength of evidence for each study that met inclusion criteria was assessed based on the risk of bias, consistency, directness, and precision.Results:Database searches resulted in 1,236 potentially relevant articles. A total of 485 articles were selected for full-text dual review and 106 studies in 52 publications met the inclusion criteria.Conclusion:The utilization of enhanced recovery pathways with the goal of improving overall patient morbidity and mortality is well supported in the literature, however standardization of implementation and adherence across institutions is lacking, and their direct efficacy on reducing preventable treatment related expenditures is unconfirmed.

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Preventing hospital‐acquired venous thromboembolism: Improving patient safety with interdisciplinary teamwork, quality improvement analytics, and data transparency

Cited by 15 publications

References 6 publications

Effect of Knowledge Translation on Suspected Venous Thromboembolism in Hospitalized Patients

Effect of Knowledge Translation on Suspected Venous Thromboembolism in Hospitalized Patients

Identification of patients at high risk for post-discharge venous thromboembolism after hepato-pancreato-biliary surgery: which patients benefit from extended thromboprophylaxis?

Bladder Cancer Recovery Pathways: A Systematic Review

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