28 Day Pharmacological VTE Prophylaxis in Patients Undergoing Major Abdominal Cancer Surgery; A Trust Wide Quality Improvement Project

Abstract Aims With surgical teams in the NHS pushed to their limit under unprecedented demands, simple and effective ways for maintaining standards of patient care are necessitated. This quality improvement project aims to implement user-friendly and coherent ward round stickers as an adjunct to surgical ward rounds to deliver standardised care. Methods Baseline performance was measured against The Royal College of Surgeons of Edinburgh Surgical Ward Round Toolkit. Five recorded items were studied including: bloods, venous thromboembolism (VTE) prophylaxis, regular medications, observations, and handover to nursing staff. The surgical team was informed of the audit but not over which dates it would be conducted. In the first cycle, data was collected over a 4 week period. Ward round stickers were then implemented and a second cycle was completed 2 months later over another 4 week period. Results Baseline performance recorded from 74 ward round entries showed checking of bloods, VTE, regular medications, observations and handover ranged from 0% to 65%. After the introduction of ward round stickers, a second cycle was performed from 81 ward round entities. There was significant improvement from baseline with compliance in recording all five items > 85%. Conclusion This quality improvement project showed that the use of stickers as an adjunct to surgical ward round is a simple and effective way of evidencing good practice against recommended standards.

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119 VTE prophylaxis for patients in a specialist palliative care centre: a quality improvement project

10.1136/spcare-2021-pcc.137 ◽

2021 ◽

Author(s):

Yuxuan Zhang

Keyword(s):

Palliative Care ◽

Quality Improvement ◽

Quality Improvement Project ◽

Care Centre ◽

Specialist Palliative Care ◽

Improvement Project ◽

Vte Prophylaxis

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264 Does the Introduction of Ward Round Stickers Improve Surgical Ward Rounds?

British Journal of Surgery ◽

10.1093/bjs/znab259.028 ◽

2021 ◽

Vol 108 (Supplement_6) ◽

Author(s):

V Sharma ◽

E Fitzpatrick ◽

D Sharma

Keyword(s):

Quality Improvement ◽

Good Practice ◽

Ward Round ◽

Quality Improvement Project ◽

Improvement Project ◽

Vte Prophylaxis ◽

Baseline Performance ◽

Surgical Ward ◽

Ward Rounds ◽

Surgical Teams

Abstract Aim With surgical teams in the NHS pushed to their limit under unprecedented demands, simple and effective ways for maintaining standards of patient care are necessitated. This quality improvement project aims to implement user-friendly and coherent ward round stickers as an adjunct to surgical ward rounds to deliver standardised care. Method Baseline performance was measured against The Royal College of Surgeons of Edinburgh Surgical Ward Round Toolkit. Five recorded items were studied including: bloods, venous thromboembolism(VTE) prophylaxis, regular medications, observations, and handover to nursing staff. The surgical team was informed of the audit but not over which dates it would be conducted. In the first cycle, data was collected over a 4-week period. Ward round stickers were then implemented, and a second cycle was completed 2 months later over another 4-week period. Results Baseline performance recorded from 74 ward round entries showed checking of bloods, VTE, regular medications, observations and handover ranged from 0% to 65%. After the introduction of ward round stickers, a second cycle was performed from 81 ward round entities. There was significant improvement from baseline with compliance in recording all five items > 85%. Conclusions This quality improvement project showed that the use of stickers as an adjunct to surgical ward round is a simple and effective way of evidencing good practice against recommended standards.

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1571 Lower Limb Immobilisation And VTE Prophylaxis Risk Assessment: A Quality Improvement Project

British Journal of Surgery ◽

10.1093/bjs/znab259.177 ◽

2021 ◽

Vol 108 (Supplement_6) ◽

Author(s):

M Potter

Keyword(s):

Risk Assessment ◽

Quality Improvement ◽

Lower Limb ◽

Bleeding Risk ◽

Quality Improvement Project ◽

Improvement Project ◽

Vte Prophylaxis ◽

Improve Compliance ◽

Virtual Fracture Clinic

Abstract Introduction Temporary cast immobilisation of the lower limb following injury is associated with a 2-3% risk of DVT. NICE guidelines recommend considering pharmacological thromboprophylaxis for those with lower limb immobilisation where VTE risk outweighs bleeding risk. The aim of this quality improvement project was to improve compliance with VTE risk assessment in patients discharged from the Emergency Department (ED) with lower limb immobilisation. Method Baseline data on completion of VTE risk assessment forms was collected retrospectively on all patients discharged from ED in lower limb boots and casts over a 3-week period. Cycle 1 included the introduction of a VTE section on the virtual fracture clinic booking form. Cycle 2 included displaying posters around the ED and placing forms inside walker boots. Data was collected following a 3-week period for each cycle. Results The baseline audit showed 45% compliance with completion of VTE risk assessment forms. Cycle 1 showed a significant increase in compliance, to 72%. A further modest increase in compliance was seen in Cycle 2, with 78% of VTE risk assessment forms completed. Conclusions Baseline compliance with VTE risk assessment for lower limb immobilisation was suboptimal. Integration of risk assessment into the virtual fracture booking form significantly improved compliance. This intervention is to be continued long-term at Harrogate District Hospital.

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