Mohammad Hasan, Resham Mansoor, Joshua Agilinko, Dharshanan Raj
Department of General Surgery, Aberdeen Royal Infirmary, Aberdeen, UK
Department of Diabetes & Endocrinology, Aberdeen Royal Infirmary, Aberdeen, UK
Department of Plastic Surgery, Aberdeen Royal Infirmary, Aberdeen, UK
Posters & Accepted Abstracts: J Anesth Clin Res
Introduction: Hospital acquired venous thromboembolism
(VTE) is a term for all VTE that occurs in a hospital stay
or within 90 days of admission. National Institute of Health
and Care Excellence guidelines recommend that all medical
patients should be assessed to identify the risk of VTE and
bleeding using a risk assessment tool1. VTE prophylaxis is
an essential part of preventive medicine to reduce morbidity
and mortality. An audit was performed in a medical
department to assess the number of patients who had the
local VTE assessment form completed. The standard was set
that all patients should have VTE forms completed.
Description: Data was collected three times over a period of three weeks. VTE forms in all patients notes were checked and crossed checked with drug charts to ensure prophylaxis was prescribed. All patients in the ward were included in each cycle of data collection, which ranged from 22-24. Interventions were made by two methods. Firstly; VTE forms were attached to all elective and emergency admission booklets to ensure it was not overseen. Secondly; regular verbal reminders were given to the junior doctors on the ward during handover and huddles.
Results: Results showed that percentage of VTE forms completed for all patients increased from 34.79% to 50%. The percentage of patients requiring prophylaxis with VTE forms completed increased from 53/3% to 73.3%.
Conclusions: Significant improvement was noted in the compliance of VTE forms completed with interventions. It was noted that patients in which VTE prophylaxis was indicated had a higher percentage of VTE form completion. There is still room for improvement and it is noteworthy that simple measures can make a difference in compliance to improve patient safety and prevent complications.
1. National Institute for Health and Care Excellence; Venous thromboembolism in over 16s; Reducing the risk of hospital-acquired deep vein thrombosis or pulmonary embolism (NICE guideline NG89 Volume 1 â?? March 2018)
Mohammad Hasan completed his MBBS at Shaikh Zayed Medical College in Pakistan in 2015. After completing his internship ion Pakistan he moved to the UK to complete his Foundation years. He is currently working at Aberdeen Royal Infirmary with a keen interest in Hepatobiliary surgery. He has submitted posters to a handful of international conferences and is in the process of completing his MRCS and PG Certificate in Surgery.