Venous Thromboembolism Prophylaxis in acute medical admissions to a university teaching hospital

Hdl Handle:
http://hdl.handle.net/10147/302183
Title:
Venous Thromboembolism Prophylaxis in acute medical admissions to a university teaching hospital
Authors:
Lyons, O; Loh, J; Lim, M; O’Riordan, D; Silke, B
Publisher:
Irish Medical Journal
Journal:
Irish Medical Journal
Issue Date:
Sep-2013
URI:
http://hdl.handle.net/10147/302183
Abstract:
The objective of this study was to assess appropriate thromboprophylaxis prescription rates in a university hospital and to re-audit after a series of interventions. The notes of all acute medical patient admissions over a 4-week period were assessed for VTE risk factors and prescription of thromboprophylaxis. Subsequently, a series of hospital wide interventions including educational initiatives and a new drug prescription chart were introduced. 2 years post intervention the audit was repeated. Pre-intervention, 104 of 265(39%) â at riskâ patients were prescribed appropriate thromboprophylaxis. Post intervention the prescription rate increased to 108 of 188(57%) â at risk patientsâ . The results of the pre- intervention audit are consistent with the published literature. While there was a significant increase in prescription rates post intervention, over 40% of â at riskâ patients still did not receive thromboprophylaxis highlighting the challenge in attempting to close the gap between guidelines and actual practice.
Item Type:
Article
Language:
en

Full metadata record

DC FieldValue Language
dc.contributor.authorLyons, Oen_GB
dc.contributor.authorLoh, Jen_GB
dc.contributor.authorLim, Men_GB
dc.contributor.authorO’Riordan, Den_GB
dc.contributor.authorSilke, Ben_GB
dc.date.accessioned2013-09-24T09:20:43Z-
dc.date.available2013-09-24T09:20:43Z-
dc.date.issued2013-09-
dc.identifier.urihttp://hdl.handle.net/10147/302183-
dc.description.abstractThe objective of this study was to assess appropriate thromboprophylaxis prescription rates in a university hospital and to re-audit after a series of interventions. The notes of all acute medical patient admissions over a 4-week period were assessed for VTE risk factors and prescription of thromboprophylaxis. Subsequently, a series of hospital wide interventions including educational initiatives and a new drug prescription chart were introduced. 2 years post intervention the audit was repeated. Pre-intervention, 104 of 265(39%) â at riskâ patients were prescribed appropriate thromboprophylaxis. Post intervention the prescription rate increased to 108 of 188(57%) â at risk patientsâ . The results of the pre- intervention audit are consistent with the published literature. While there was a significant increase in prescription rates post intervention, over 40% of â at riskâ patients still did not receive thromboprophylaxis highlighting the challenge in attempting to close the gap between guidelines and actual practice.en_GB
dc.language.isoenen
dc.publisherIrish Medical Journalen_GB
dc.titleVenous Thromboembolism Prophylaxis in acute medical admissions to a university teaching hospitalen_GB
dc.typeArticleen
dc.identifier.journalIrish Medical Journalen_GB
dc.description.fundingNo fundingen
dc.description.provinceLeinsteren
dc.description.peer-reviewpeer-reviewen
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