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  • DR S Kumari MR R Laing MR R Duffield Surgery-PRH

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    Richard Laing
    22 vistas13 páginas
    This document summarizes a re-audit of venous thromboembolism (VTE) prophylaxis assessments at PRH hospital. The audit found that 91% of patients had a VTE assessment completed, meeting the Department of Health's target of 90%. This is an improvement from the previous completion rate of 69%. While 81% of assessments were completed within the 8 hour time limit, all patients received appropriate VTE prophylaxis regardless of assessment. The audit recommends ensuring admitting doctors complete VitalPac assessments and re-auditing assessments after 7 days of admission.

    Descripción original:

    local re-audit of VTE prophylaxis

    Título original

    VTE_reaudit

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    This document summarizes a re-audit of venous thromboembolism (VTE) prophylaxis assessments at PRH hospital. The audit found that 91% of patients had a VTE assessment completed, meeting the Department of Health's target of 90%. This is an improvement from the previous completion rate of 69%. While 81% of assessments were completed within the 8 hour time limit, all patients received appropriate VTE prophylaxis regardless of assessment. The audit recommends ensuring admitting doctors complete VitalPac assessments and re-auditing assessments after 7 days of admission.

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    22 vistas13 páginas

    DR S Kumari MR R Laing MR R Duffield Surgery-PRH

    Cargado por

    Richard Laing
    This document summarizes a re-audit of venous thromboembolism (VTE) prophylaxis assessments at PRH hospital. The audit found that 91% of patients had a VTE assessment completed, meeting the Department of Health's target of 90%. This is an improvement from the previous completion rate of 69%. While 81% of assessments were completed within the 8 hour time limit, all patients received appropriate VTE prophylaxis regardless of assessment. The audit recommends ensuring admitting doctors complete VitalPac assessments and re-auditing assessments after 7 days of admission.

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    de 13

    Re-Audit of Venous

    Thromboembolism
    Prophylaxis
    Assessment
    Dr S Kumari
    Mr R Laing
    Mr R Duffield
    Surgery-PRH

    Background
    VTE is an important cause of death in

    hospital patients
    Treatment of non-fatal symptomatic

    VTE and related long-term morbidities


    is associated with a considerable cost
    to the health service.

    Timeline
    2005 - House of Commons Health
    Committee report:
    Inconsistent use of prophylactic measures for VTE

    in hospital patients has been widely reported


    71% of patients assessed to be at medium or

    high risk did not receive any form of mechanical


    or pharmacological VTE prophylaxis
    ~25,000 people in the UK die from preventable

    hospital-acquired VTEs every year

    Timeline
    2007 - Department of Health - it is
    mandatory for every patient entering
    hospital to have VTE risk assessment

    2010 - NICE published their VTE


    prevention guidance [CG92]

    Aim
    Reassess VTE completion rate
    Assess No. of VTEs completed within
    the 8 hour time limit
    Compare these results with the
    previous audit

    Methodology
    Retrospective review using VitalPac
    and Case notes

    50 randomly selected sets of notes


    from all surgical admissions at PRH
    during November 2011

    Results
    46 patients identified in total
    Emergency admission: 78% (36/46)
    VTE completed: 91% (42/46)
    (3 patients discharged before 8 hr
    target)

    Results
    VTEs completed within time limit: 81%
    (35/43)
    VTEs completed by admitting doctor:
    62% (26/42)
    100% of patients who did not have
    VitalPac assessment, received the
    prophylaxis they required

    Conclusion & Evaluation


    DoH target of 90% VTE completion is being
    met
    We have improved as a unit
    Previous rate of completion 69%
    Current rate of completion 91%
    Previous prescription of prophylaxis 76%
    Current prescription of prophylaxis
    100%

    Conclusion & Evaluation


    VTE breaches in every case occurred
    when the admitting doctor failed to
    complete the VTE assessment

    All patients received the VTE prophylaxis


    required in spite of VitalPac assessment
    rate

    Recommendations
    Every admitting doctor uses VitalPac as part
    of their regular patient assessment.
    All doctors new to the rotation should
    undergo an induction which stresses this
    point.
    Nurses should continue to highlight
    incomplete VTE assessments

    Re-audit
    Aim to re-audit half way through next
    rotation

    Include assessment after 7 days of


    admission as a parameter

    Thank You

    Any Questions?

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