Improving VTE Risk Assessment in Hospitalised Patientsin a Tertiary Care Hospital in Ireland

摘要

The main objective of this study was to establish and implement a Thromboprophylaxis (TP) policy and VTE riskassessment (VTE-RA) tool for all hospitalised adult patients. This was a single centre before-after study, using aprospective cross-sectional design for both the baseline and post-intervention studies. All adult inpatients (>18years) were eligible for inclusion. In the follow-up audit, one year post-implementation the main outcome measurewas the documented evidence of VTE-RA and prescription of TP. Which showed significant (p <0.001)improvement in documentation of VTE-RA from 24% (244/1019) to 57% (612/1070) and the prescription ofpharmacological TP increased significantly (p<0.001) from 43% (441/1019) to 67% (713/1070). Introduction of aTP policy and VTE-RA tool increased compliance by 33%. However, without a dedicated multidisciplinary“thrombosis team” to actively implement this, the achievements to date are unsustainable and attaining 90%compliance with VTE-RA is unlikely.