A national house-staff audit of medical prophylaxis in medical patients for the PREVENTion of Venous ThromboEmbolism (PREVENT-VTE)

Hdl Handle:
http://hdl.handle.net/10147/307018
Title:
A national house-staff audit of medical prophylaxis in medical patients for the PREVENTion of Venous ThromboEmbolism (PREVENT-VTE)
Authors:
Adamali, H; Zaid, H; Suliman, AM; O’Donoghue, E; Burke, A; Suliman, AW; Salem, M; O’Toole, A; Ibrahim Yearoo, A; Javid, S; Ullah, I; Bolger, K; Dunican, E; McCullagh, B; Curtin, D; Lonergan, MT; Dillon, L; Murphy, AW; Gaine, S
Publisher:
Irish Medical Journal (IMJ)
Journal:
Irish Medical Journal (IMJ)
Issue Date:
2013
URI:
http://hdl.handle.net/10147/307018
Abstract:
We established a national audit to assess the thromboprophylaxis rate for venous thromoembolism (VTE) in at risk medical patients in acute hospitals in the Republic of Ireland and to determine whether the use of stickers to alert physicians regarding thromboprophylaxis would double the rate prophylaxis in a follow-up audit. 651 acute medical admission patients in the first audit and 524 in the second re-audit were recruited. The mean age was 66.5yrs with similar numbers of male and female patients and 265(22.6%) patients were active smokers. The first and second audits identified 549(84%) and 487(93%) of patients at-risk for VTE respectively. Of the at-risk patients, 163(29.7%) and 132(27.1%) received LMWH in the first and second audit respectively. Mechanical thromboprophylaxis was instigated in 75(13.6%) patients in the first and 86(17.7%) patients in the second audit. The placement of stickers in patient charts didnâ t produce a significant increase in the number of at risk patients treated in the second audit. There is unacceptably low adherence to the ACCP guidelines in Ireland and more complex intervention than chart reminders are required to improve compliance.
Item Type:
Article
Language:
en
Keywords:
AUDIT; THROMBOSIS

Full metadata record

DC FieldValue Language
dc.contributor.authorAdamali, Hen_GB
dc.contributor.authorZaid, Hen_GB
dc.contributor.authorSuliman, AMen_GB
dc.contributor.authorO’Donoghue, Een_GB
dc.contributor.authorBurke, Aen_GB
dc.contributor.authorSuliman, AWen_GB
dc.contributor.authorSalem, Men_GB
dc.contributor.authorO’Toole, Aen_GB
dc.contributor.authorIbrahim Yearoo, Aen_GB
dc.contributor.authorJavid, Sen_GB
dc.contributor.authorUllah, Ien_GB
dc.contributor.authorBolger, Ken_GB
dc.contributor.authorDunican, Een_GB
dc.contributor.authorMcCullagh, Ben_GB
dc.contributor.authorCurtin, Den_GB
dc.contributor.authorLonergan, MTen_GB
dc.contributor.authorDillon, Len_GB
dc.contributor.authorMurphy, AWen_GB
dc.contributor.authorGaine, Sen_GB
dc.date.accessioned2013-12-18T12:28:19Z-
dc.date.available2013-12-18T12:28:19Z-
dc.date.issued2013-
dc.identifier.urihttp://hdl.handle.net/10147/307018-
dc.description.abstractWe established a national audit to assess the thromboprophylaxis rate for venous thromoembolism (VTE) in at risk medical patients in acute hospitals in the Republic of Ireland and to determine whether the use of stickers to alert physicians regarding thromboprophylaxis would double the rate prophylaxis in a follow-up audit. 651 acute medical admission patients in the first audit and 524 in the second re-audit were recruited. The mean age was 66.5yrs with similar numbers of male and female patients and 265(22.6%) patients were active smokers. The first and second audits identified 549(84%) and 487(93%) of patients at-risk for VTE respectively. Of the at-risk patients, 163(29.7%) and 132(27.1%) received LMWH in the first and second audit respectively. Mechanical thromboprophylaxis was instigated in 75(13.6%) patients in the first and 86(17.7%) patients in the second audit. The placement of stickers in patient charts didnâ t produce a significant increase in the number of at risk patients treated in the second audit. There is unacceptably low adherence to the ACCP guidelines in Ireland and more complex intervention than chart reminders are required to improve compliance.en_GB
dc.language.isoenen
dc.publisherIrish Medical Journal (IMJ)en_GB
dc.subjectAUDITen_GB
dc.subjectTHROMBOSISen_GB
dc.titleA national house-staff audit of medical prophylaxis in medical patients for the PREVENTion of Venous ThromboEmbolism (PREVENT-VTE)en_GB
dc.typeArticleen
dc.identifier.journalIrish Medical Journal (IMJ)en_GB
dc.description.fundingNo fundingen
dc.description.provinceLeinsteren
dc.description.peer-reviewpeer-reviewen
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