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Reducing inappropriately suspended VTE prophylaxis through a multidisciplinary shared learning programme and
Christopher Felix Brewer1, Dorothy Ip1, Emma Drasar2
1Department of Medicine, Whittington Health NHS Trust, London, UK.
BMJ Open Quality
|July 2, 2019
Summary
Venous thromboembolism (VTE) prophylaxis suspension was reduced by using education and electronic prompts. This intervention effectively alerted healthcare providers, decreasing VTE prescribing errors in medical inpatients.
Area of Science:
- Medical research
- Clinical interventions
- Patient safety
Background:
- Venous thromboembolism (VTE) contributes significantly to preventable hospital deaths.
- National guidelines mandate VTE risk assessment and prophylaxis for all inpatients.
- Inappropriate suspension of VTE prophylaxis during hospital stays is an underemphasized issue.
Purpose of the Study:
- To determine the reasons and extent of inappropriate VTE prophylaxis suspension in medical inpatients.
- To implement interventions aimed at decreasing such suspensions.
Main Methods:
- An initial audit identified patients with inappropriately suspended VTE prophylaxis.
- Educational meetings and electronic prompts were introduced to address prescribing errors.
- A re-audit assessed the efficacy of the implemented interventions.
Main Results:
- The intervention strategy led to a significant reduction in inappropriately suspended VTE prophylaxis.
- Educational and electronic prompting interventions proved effective in reducing errors.
Conclusions:
- Combined educational and electronic prompts are effective in reducing VTE prophylaxis suspension errors.
- Sustained reduction in VTE prescribing errors is achievable through ongoing education and software integration.
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