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Multidisciplinary Approach to Obesity Management: A Case Report
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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.

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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.

Keywords:
clinical practice guidelinesmedical educationmedical error, measurement/epidemiology

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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.