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Could a Coagulation Nurse Liaison Improve Compliance With Venous Thromboembolism Prophylaxis in Medical Patients?
Lee Hilary Goldstein1, Pnina Sabag, Rita Melykovsky
1Clinical Pharmacology Unit (Dr Goldstein), Internal Medicine C (Drs Goldstein, Elias, and Saliba and Mss Hemi and Ron-Avraham), Internal Medicine D (Mss Sabag and Melykovsky, and Dr Bisharat), Nurse Office (Ms Azriel), and Internal Medicine A (Dr Markel), Haemek Medical Center, Afula, Israel.
Abstract:
Medical patients worldwide are undertreated with venous thromboembolism prophylaxis. Our hypothesis was that the rate of prophylactic anticoagulation therapy for high-risk patients would improve with the use of a coagulation nurse liaison. Six months after appointing a nurse for this role, prophylaxis rates significantly improved, and patients were more likely to receive appropriate thromboprophylaxis. A coagulation nurse liaison substantially improves thromboprophylaxis in a medical ward.
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