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Development of a Surveillance System for Pediatric Hospital-Acquired Venous Thromboembolism

Laura H Brower1,2, Erin E Shaughnessy3,2, Ranjit S Chima2,2

  • 1Divisions of Hospital Medicine and.

Hospital Pediatrics
|September 14, 2017
PubMed

Insights

Accurate surveillance for pediatric hospital-acquired venous thromboembolism (VTE) is crucial. Combining multiple detection methods improved HA-VTE identification, enabling better quality improvement initiatives.

Area of Science:

  • Pediatric Healthcare
  • Clinical Surveillance
  • Thromboembolic Disease

Background:

  • Pediatric hospital-acquired venous thromboembolism (HA-VTE) presents a significant challenge.
  • Existing surveillance methods lack the robustness needed to accurately determine HA-VTE rates.
  • This hinders effective quality improvement efforts.

Purpose of the Study:

  • To develop and implement a comprehensive surveillance strategy for HA-VTE in a pediatric hospital.
  • To establish a reliable baseline rate for HA-VTE to guide quality improvement.

Main Methods:

  • A multidisciplinary team developed a surveillance system integrating diagnosis codes with clinical and radiology data.
  • HA-VTE events were tracked using descriptive statistics and statistical process control charts.
  • Retrospective analysis evaluated the effectiveness of individual detection methods.

Main Results:

  • A total of 68 HA-VTE events were identified.
  • The median rate of HA-VTE increased from 0.18 to 0.34 events per 1000 patient days.
  • No single detection method identified all events, highlighting the need for a combined approach.

Conclusions:

  • Implementing multiple detection methods significantly enhances the timely identification of HA-VTE.
  • This optimized surveillance enables the establishment of a reliable baseline rate.
  • Reliable data supports targeted quality improvement initiatives to reduce HA-VTE.
Abstract

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