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Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
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STAMP: surgical thromboprophylaxis adherence management programme.

Natalia Quintana-Montejo1, Paulo Andres Cabrera Rivera2, Stefany de Jesús Ríos Acuña1

  • 1Fundación Cardioinfantil Instituto de Cardiología, Bogotá, Colombia.

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Summary

A multifaceted strategy significantly improved adherence to surgical patient thromboprophylaxis guidelines. This involved electronic system integration, educational materials, and alerts, increasing adherence from 40.2% to 62.7%.

Keywords:
Adverse events, epidemiology and detectionClinical practice guidelinesHealthcare quality improvementStandards of careSurgery

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Area of Science:

  • Medical Science
  • Clinical Practice
  • Patient Safety

Background:

  • Venous thromboembolism (VTE) is a leading cause of preventable in-hospital harm.
  • Adherence to clinical practice guidelines for VTE prevention (thromboprophylaxis) remains suboptimal.
  • International strategies have shown success in improving thromboprophylaxis adherence.

Purpose of the Study:

  • To develop and implement a comprehensive strategy to enhance adherence to institutional thromboprophylaxis protocols for surgical patients.
  • To evaluate the effectiveness of this multifaceted approach in a university hospital setting.

Main Methods:

  • A quasi-experimental, before-and-after study design was employed.
  • Data were collected from 192 electronic medical records of surgical patients.
  • Intervention components included electronic system integration (Caprini scale), educational materials, training sessions, and risk alerts.

Main Results:

  • The multifaceted strategy led to a significant increase in adequate thromboprophylaxis adherence (40.2% to 62.7%, p=0.003).
  • Adherence was measured against patient thromboembolic risk as calculated by the Caprini scale.
  • Key interventions included the Caprini scale in the electronic system, a thromboprophylaxis booklet, information sessions, an online course, and alerts for high-risk patients.

Conclusions:

  • A multifaceted strategy is effective in improving adherence to thromboprophylaxis guidelines in surgical patients.
  • This approach should be considered for implementation in other institutions, both locally and internationally.
  • Improving thromboprophylaxis adherence is crucial for reducing in-hospital morbidity and mortality related to VTE.