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Original article
Venous thromboembolism: reducing the risk in a Role 3 setting Darren G Craig,1 M G Adam,2 A Proffitt,3 I Parsons,4 N R Tai,5 J L d’Arcy6 1
Gastroenterology Department, The James Cook University Hospital, Middlesbrough, UK 2 Department of Infectious Diseases, Ealing Hospital NHS Trust, London, UK 3 Department of Medicine, University Hospital of North Staffordshire, Stoke-on-Trent, UK 4 5 Medical Regiment, North Yorkshire, UK 5 Trauma Clinical Academic Unit, Royal London Hospital, London, UK 6 Department of Cardiology, John Radcliffe Hospital, Oxford, UK Correspondence to Wg Cdr DG Craig, Gastroenterology Department, The James Cook University Hospital, Marton Road, Middlesbrough TS4 3BW, UK; [email protected] Received 4 November 2013 Revised 3 December 2013 Accepted 8 December 2013 Published Online First 15 January 2014
ABSTRACT Background Venous thromboembolism (VTE) represents a significant preventable cause of hospital mortality. VTE assessment and prophylaxis rates are key patient safety and quality of care indicators. The aim of this study was to audit low molecular weight heparin (LMWH) and graduated elasticated compression stockings (GECS) prescriptions compared with the current Clinical Guidelines for Operations. Methods Complete audit loop in the Role 3 Hospital, Camp Bastion, Afghanistan. A multifaceted intervention programme incorporating physician and nurse education and pre-printed medication charts was introduced to improve VTE assessment and prophylaxis rates. Results Only 111/301 (36.9%) of patients in the preintervention cohort had a VTE risk assessment performed; this improved to 142/155 (91.6%, p
Original article
Venous thromboembolism: reducing the risk in a Role 3 setting Darren G Craig,1 M G Adam,2 A Proffitt,3 I Parsons,4 N R Tai,5 J L d’Arcy6 1
Gastroenterology Department, The James Cook University Hospital, Middlesbrough, UK 2 Department of Infectious Diseases, Ealing Hospital NHS Trust, London, UK 3 Department of Medicine, University Hospital of North Staffordshire, Stoke-on-Trent, UK 4 5 Medical Regiment, North Yorkshire, UK 5 Trauma Clinical Academic Unit, Royal London Hospital, London, UK 6 Department of Cardiology, John Radcliffe Hospital, Oxford, UK Correspondence to Wg Cdr DG Craig, Gastroenterology Department, The James Cook University Hospital, Marton Road, Middlesbrough TS4 3BW, UK; [email protected] Received 4 November 2013 Revised 3 December 2013 Accepted 8 December 2013 Published Online First 15 January 2014
ABSTRACT Background Venous thromboembolism (VTE) represents a significant preventable cause of hospital mortality. VTE assessment and prophylaxis rates are key patient safety and quality of care indicators. The aim of this study was to audit low molecular weight heparin (LMWH) and graduated elasticated compression stockings (GECS) prescriptions compared with the current Clinical Guidelines for Operations. Methods Complete audit loop in the Role 3 Hospital, Camp Bastion, Afghanistan. A multifaceted intervention programme incorporating physician and nurse education and pre-printed medication charts was introduced to improve VTE assessment and prophylaxis rates. Results Only 111/301 (36.9%) of patients in the preintervention cohort had a VTE risk assessment performed; this improved to 142/155 (91.6%, p
