Improving venous thromboembolic disease prophylaxis in medical inpatients: a role for education and audit.

Hdl Handle:
http://hdl.handle.net/10147/207559
Title:
Improving venous thromboembolic disease prophylaxis in medical inpatients: a role for education and audit.
Authors:
Kent, B D; Nadarajan, P; Akasheh, N B; Sulaiman, I; Karim, S; Cooney, S; Lane, S J; Moloney, E D
Affiliation:
Department of Pulmonary and Sleep Disorders, St. Vincent's University Hospital,, Dublin 4, Ireland. briankent@physicians.ie
Citation:
Ir J Med Sci. 2011 Mar;180(1):163-6. Epub 2010 Oct 19.
Journal:
Irish journal of medical science
Issue Date:
1-Feb-2012
URI:
http://hdl.handle.net/10147/207559
DOI:
10.1007/s11845-010-0619-7
PubMed ID:
20957521
Abstract:
BACKGROUND: Venous thromboembolic disease (VTED) prophylaxis is a key strategy in reducing preventable deaths in medical inpatients. We assessed compliance with internationally published guidelines for VTED prophylaxis in at-risk medical patients before and 1 month after an educational intervention to enhance compliance with such guidelines. RESULTS: One hundred and fifty patients were assessed on each occasion. Pre-intervention, VTED prophylaxis was prescribed in only 48% of at-risk cases. Compliance was best among patients under stroke services and worst for those under acute medical teams. Patients within specialist units were more likely to be prescribed prophylaxis than those in general wards (75 vs. 53%; p = 0.0019). Post-intervention, overall compliance improved to 63% (p = 0.041 for comparison). There was a significant improvement among general medical teams (48 vs. 75%; p = 0.001), and in general wards (52 vs. 74%; p = 0.003). CONCLUSIONS: Thromboprophylaxis is under-prescribed in medical inpatients, but compliance with international guidelines can be significantly enhanced with targeted educational intervention.
Language:
eng
MeSH:
Guideline Adherence; Hospitalization; Humans; Medical Audit; Patient Education as Topic; Risk Factors; Stroke/complications; Venous Thromboembolism/epidemiology/etiology/*prevention & control
ISSN:
1863-4362 (Electronic); 0021-1265 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorKent, B Den_GB
dc.contributor.authorNadarajan, Pen_GB
dc.contributor.authorAkasheh, N Ben_GB
dc.contributor.authorSulaiman, Ien_GB
dc.contributor.authorKarim, Sen_GB
dc.contributor.authorCooney, Sen_GB
dc.contributor.authorLane, S Jen_GB
dc.contributor.authorMoloney, E Den_GB
dc.date.accessioned2012-02-01T10:31:19Z-
dc.date.available2012-02-01T10:31:19Z-
dc.date.issued2012-02-01T10:31:19Z-
dc.identifier.citationIr J Med Sci. 2011 Mar;180(1):163-6. Epub 2010 Oct 19.en_GB
dc.identifier.issn1863-4362 (Electronic)en_GB
dc.identifier.issn0021-1265 (Linking)en_GB
dc.identifier.pmid20957521en_GB
dc.identifier.doi10.1007/s11845-010-0619-7en_GB
dc.identifier.urihttp://hdl.handle.net/10147/207559-
dc.description.abstractBACKGROUND: Venous thromboembolic disease (VTED) prophylaxis is a key strategy in reducing preventable deaths in medical inpatients. We assessed compliance with internationally published guidelines for VTED prophylaxis in at-risk medical patients before and 1 month after an educational intervention to enhance compliance with such guidelines. RESULTS: One hundred and fifty patients were assessed on each occasion. Pre-intervention, VTED prophylaxis was prescribed in only 48% of at-risk cases. Compliance was best among patients under stroke services and worst for those under acute medical teams. Patients within specialist units were more likely to be prescribed prophylaxis than those in general wards (75 vs. 53%; p = 0.0019). Post-intervention, overall compliance improved to 63% (p = 0.041 for comparison). There was a significant improvement among general medical teams (48 vs. 75%; p = 0.001), and in general wards (52 vs. 74%; p = 0.003). CONCLUSIONS: Thromboprophylaxis is under-prescribed in medical inpatients, but compliance with international guidelines can be significantly enhanced with targeted educational intervention.en_GB
dc.language.isoengen_GB
dc.subject.meshGuideline Adherenceen_GB
dc.subject.meshHospitalizationen_GB
dc.subject.meshHumansen_GB
dc.subject.meshMedical Auditen_GB
dc.subject.meshPatient Education as Topicen_GB
dc.subject.meshRisk Factorsen_GB
dc.subject.meshStroke/complicationsen_GB
dc.subject.meshVenous Thromboembolism/epidemiology/etiology/*prevention & controlen_GB
dc.titleImproving venous thromboembolic disease prophylaxis in medical inpatients: a role for education and audit.en_GB
dc.contributor.departmentDepartment of Pulmonary and Sleep Disorders, St. Vincent's University Hospital,, Dublin 4, Ireland. briankent@physicians.ieen_GB
dc.identifier.journalIrish journal of medical scienceen_GB
dc.description.provinceLeinster-

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