scholarly journals VTE prophylaxis admission assessment full cycle audit and QI project

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S77-S77
Author(s):  
Krystyna Drewniak ◽  
Mark Fielding
Keyword(s):  
Risk Assessment ◽  
Healthcare Professionals ◽  
Patient Record ◽  
Junior Doctors ◽  
Completion Rates ◽  
Record System ◽  
Excel Spreadsheet ◽  
Vte Prophylaxis ◽  
Project Data

AimsThe aim of the project was to assess completion rates for the VTE prophylaxis assessment for patients admitted to Dova Unit, Dane Garth. Another aim of the project was to identify areas for improvement and changes which could increase compliance rates.MethodIn the first cycle of the audit 20 randomly selected patients admitted to Dova Unit, Dane Garth between June and December 2020 were identified and included in the project. Data were then collected from the online patient record system Rio and analysed using an excel spreadsheet.In the second cycle of the audit 10 randomly selected patients admitted to Dova Unit, Dane Garth between January and February 2021 were identified and included in the project. Data were then collected from the online patient record system Rio, analysed using an excel spreadsheet and compared with the results obtained in the first cycle of the project.ResultIn the first cycle of the audit the overall compliance was found to be 35%. VTE Risk assessment was completed for 50% of patients included in the study. ‘Active VTE on admission’ section of the VTE prophylaxis admission assessment was completed for 30% of patients included in the study. ‘Active VTE at 72 hours’ section was completed for 20% of the patients in the study and the ‘risk assessment for VTE' form was completed for 40% of patients included in the study.In the second cycle of the audit the overall compliance was found to be 50%. VTE Risk assessment was completed for 60% of patients included in the study. ‘Active VTE on admission’ section of the VTE prophylaxis admission assessment was completed for 40% of patients included in the study. ‘Active VTE at 72 hours’ was completed for 40% of the patients included in the study and ‘risk assessment for VTE' form was completed for 60% of patients included in the study.ConclusionThere was an overall improvement in the completion rates for the VTE prophylaxis admission assessment as a result of conducting the project. Working with the junior doctors and other healthcare professionals responsible for completing the VTE prophylaxis admission assessment, we aim to improve our completion rates of vital information even further.

EP.FRI.771 National audit on VTE prophylaxis for lower limb injuries treated in a plaster cast

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Georgios Karagiannidis ◽  
Omar Toma
Keyword(s):  
Risk Assessment ◽  
Venous Thromboembolism ◽  
Lower Limb ◽  
Plaster Cast ◽  
Junior Doctors ◽  
National Audit ◽  
Lower Limb Injuries ◽  
Nice Guidelines ◽  
Vte Prophylaxis ◽  
Limb Injuries

Abstract Aims Audit to assess Orthopaedic departments’ compliance with NICE guidelines on Venous thromboembolism (VTE) prophylaxis published in 2010, specifically looking at VTE practices for patients with lower limb injuries treated in a plaster cast. Methods A telephonic survey was carried out on junior doctors within orthopaedic departments of 66 hospitals across all regions of England. A questionnaire was completed regarding VTE risk assessment, prophylaxis and hospital guidelines etc. Data collected from August 2016 till February 2017. Results 83% (n = 55) of trusts routinely give VTE prophylaxis to these patients. 96% (n = 64) give Chemoprophylaxis of some sort. Formal VTE assessments are performed in 81% (n = 54) and 77% (n = 51) have a local VTE prophylaxis policy. Conclusions We conclude that Orthopaedic departments across England have increased compliance with NICE guidelines for VTE prophylaxis. However there is considerable variation in practice, especially in duration and chemoprophylaxis agent. We attribute this to the lack of specific NICE guidelines for this cohort of patients. We aim that this study can influence NICE to introduce added guidance that will standardise practice.

scholarly journals 636 Optimising Operative Capacity for Hand Trauma - An audit

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
S Shahid
Keyword(s):  
Waiting Time ◽  
Retrospective Review ◽  
Junior Doctor ◽  
Patient Record ◽  
Junior Doctors ◽  
Hand Trauma ◽  
Record System ◽  
Main Area ◽  
Trauma Unit ◽  
Local Compliance

Abstract Aim Assess compliance with departmental and BSSH guidelines for hand trauma. Optimise operative capacity within the department. Promote minor ops experience among the junior doctors. Method Retrospective review of the overbooked patients seen in the Hand trauma Unit (HTU) in August 2020 using the eTrauma system and time to operation using the Lorenzo patient record system. Results Overall Local Compliance rates Overall BSSH Compliance rates Main area of non-compliance was waiting time for tendon operations, with a 30% breech rate (>5 days waiting time). Conclusions Interventions before re-audit: On call junior doctor to be based in HTU for the whole day- will allow for minor procedures (nail beds and skin lacerations) to be done at bedside. The above will free up capacity in the minor ops theatre for tendons.

Improving Coded Data Entry by an Electronic Patient Record System

1996 ◽  
Vol 35 (02) ◽  
pp. 108-111 ◽  
Author(s):  
F. Puerner ◽  
H. Soltanian ◽  
J. H. Hohnloser
Keyword(s):  
Phase I ◽  
Electronic Patient Record ◽  
Data Entry ◽  
Discharge Summary ◽  
Patient Record ◽  
Phase Iii ◽  
Electronic Patient Record System ◽  
Record System ◽  
Data Encoding ◽  
Discharge Summaries

AbstractData are presented on the use of a browsing and encoding utility to improve coded data entry for an electronic patient record system. Traditional and computerized discharge summaries were compared: during three phases of coding ICD-9 diagnoses phase I, no coding; phase II, manual coding, and phase III, computerized semiautomatic coding. Our data indicate that (1) only 50% of all diagnoses in a discharge summary are encoded manually; (2) using a computerized browsing and encoding utility this percentage may increase by 64%; (3) when forced to encode manually, users may “shift” as much as 84% of relevant diagnoses from the appropriate coding section to other sections thereby “bypassing” the need to encode, this was reduced by up to 41 % with the computerized approach, and (4) computerized encoding can improve completeness of data encoding, from 46 to 100%. We conclude that the use of a computerized browsing and encoding tool can increase data quality and the percentage of documented data. Mechanisms bypassing the need to code can be avoided.

Development of an advanced database for clinical trials integrated with an electronic patient record system

2011 ◽  
Vol 41 (8) ◽  
pp. 575-586 ◽  
Author(s):  
Alexander C. Newsham ◽  
Colin Johnston ◽  
Geoff Hall ◽  
Michael G. Leahy ◽  
Adam B. Smith ◽  
...  
Keyword(s):  
Clinical Trials ◽  
Electronic Patient Record ◽  
Patient Record ◽  
Electronic Patient Record System ◽  
Record System

scholarly journals Development of a Secure and Resilient IT System to Deliver an Electronic Patient Record System for Use in a Disaster

2017 ◽  
Vol 32 (S1) ◽  
pp. S60-S61
Author(s):  
Thomas C. Hughes ◽  
Anisa J.N. Jafar ◽  
Chrissy Alcock ◽  
Brigid Hayden ◽  
Philip Gaffney ◽  
...  
Keyword(s):  
Electronic Patient Record ◽  
Patient Record ◽  
Electronic Patient Record System ◽  
Record System

Disseminating a patient-centered education bundle to reduce missed doses of pharmacologic venous thromboembolism (VTE) prophylaxis to a community hospital

2020 ◽  
pp. 251604352096932
Author(s):  
Oluwafemi P Owodunni ◽  
Brandyn D Lau ◽  
Dauryne L Shaffer ◽  
Danielle McQuigg ◽  
Deborah Samuel ◽  
...  
Keyword(s):  
Venous Thromboembolism ◽  
Real Time ◽  
Community Hospital ◽  
Post Intervention ◽  
Patient Centered ◽  
Record System ◽  
Vte Prophylaxis ◽  
Patient Refusal ◽  
Preventable Harm ◽  
Frequent Reason

Background Venous thromboembolism (VTE) is a leading cause of preventable harm in hospitalized patients. However, many doses of prescribed pharmacologic VTE prophylaxis are frequently missed. We investigated the effect of a patient-centered education bundle on missed doses of VTE prophylaxis in a community hospital. Methods We performed a pre-post analysis examining missed doses of VTE prophylaxis in a community hospital. A real-time alert from the electronic health record system facilitated the delivery of a patient education bundle intervention. We included all patient visits on a single floor where at least 1 dose of VTE prophylaxis was prescribed during pre- (January 1, 2018, - November 31, 2018) and post- (January 1 - June 31, 2019) intervention periods. Outcomes included any missed dose (primary) and reasons for missed doses (refusal, other [secondary]) and were compared between both periods. Results 1,614 patient visits were included. The proportion of any missed dose significantly decreased (13.8% vs. 8.2% [OR, 0.56; 95% CI, 0.48, 0.64]) between the pre-post intervention periods. Patient refusal was the most frequent reason for missed doses. In the post-intervention period, patient refusal significantly decreased from 8.8% to 5.0% (OR, 0.54; 95% CI, 0.46, 0.64). Similarly, other reasons for missed doses significantly decreased from 5.0% to 3.2% (OR, 0.62; 95% CI, 0.51, 0.77). Conclusions A real-time alert-triggered patient-centered education bundle developed and tested in an academic hospital, significantly reduced missed doses of prescribed pharmacologic VTE prophylaxis when disseminated to a community hospital.

The Current State of Paediatric Orthopaedic Venous Thromboprophylaxis

2013 ◽  
Vol 95 (1) ◽  
pp. 1-4
Author(s):  
J Wright ◽  
S Randhawa ◽  
C Gooding ◽  
S Lowery ◽  
D Eastwood ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Venous Thromboembolism ◽  
Adult Patient ◽  
Quality Indicators ◽  
Clinical Excellence ◽  
Morbidity And Mortality ◽  
Vte Prophylaxis ◽  
Current State ◽  
Paediatric Orthopaedic ◽  
Hospital Inpatients

Venous thromboembolism (VTE) is widely understood to be an important cause both of morbidity and mortality in hospital inpatients. This has led to the development of guidelines for the management of VTE prophylaxis in adults by the national institute for Health and Clinical Excellence. In acknowledgement of the importance of this issue, there are government incentives in the form of Commissioning for Quality and innovation payments that are dependent on the performance of hospital trusts in certain quality indicators, such as risk assessment for VTE in the adult patient.

Sign in / Sign up

Export Citation Format

Share Document