Effective prevention of thromboembolic complications in emergency surgery patients using a quality improvement approach

BMJ Quality and Safety

Volumn 22, Issue 11, 2013, Pages 916-922

  Kreckler, Simon ^a   Morgan, Robert D ^a   Catchpole, Ken ^b   New, Steve ^c   Handa, Ashok ^a   Collins, Gary ^a   McCulloch, Peter ^a  

^a UNIVERSITY OF OXFORD   (United Kingdom)

^b Cedar Sinai and St Johns Hospitals   (United States)

^c UNIVERSITY OF OXFORD   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

LOW MOLECULAR WEIGHT HEPARIN;

ADULT; ARTICLE; COMPRESSION STOCKING; DEEP VEIN THROMBOSIS; EMERGENCY SURGERY; FEMALE; FOLLOW UP; HUMAN; LUNG EMBOLISM; MAJOR CLINICAL STUDY; MALE; PROPHYLAXIS; THROMBOEMBOLIC DETERRENT STOCKING; THROMBOPROPHYLAXIS; TOTAL QUALITY MANAGEMENT;

LEAN MANAGEMENT; QUALITY IMPROVEMENT; SURGERY;

EMERGENCY TREATMENT; FEMALE; GREAT BRITAIN; GUIDELINE ADHERENCE; HUMANS; INTERVENTION STUDIES; MALE; MIDDLE AGED; OUTCOME AND PROCESS ASSESSMENT (HEALTH CARE); POSTOPERATIVE COMPLICATIONS; QUALITY IMPROVEMENT; THROMBOEMBOLISM;

EID: 84885335096     PISSN: 20445415     EISSN: None     Source Type: Journal    
DOI: 10.1136/bmjqs-2013-001855     Document Type: Article

References (40)

1. Geerts WH, Heit MD, Clagett GP, et al. Prevention of venous thromboembolism. Chest 2001;119:132S-75S.
2. Petralia GA, Kakkar AK. Venous thromboembolism prophylaxis for the general surgical patient: where do we stand? Semin Respir Crit Care Med 2008;29:83- 9.
3. Amaragiri SV, Lees TA. Elastic compression stockings for prevention of deep vein thrombosis. Cochrane Database Syst Rev 2000;3:CD001484.
4. Kakkar VV, Spindler J, Flute PT, et al. Efficacy of low doses of heparin in prevention of deep-vein thrombosis after major surgery. A double-blind, randomised trial. Lancet 1972;2:101-6.
5. Turpie AG. Thrombosis prophylaxis in the acutely ill medical patient: insights from the prophylaxis in MEDical patients with ENOXaparin (MEDENOX) trial. Am J Cardiol 2000;86:48M-52M.
6. Wille-Jorgensen P, Jorgensen LN, Crawford M. Asymptomatic postoperative deep vein thrombosis and the development of postthrombotic syndrome. A systematic review and meta-analysis. Thromb Haemost 2005;93:236-41.
7. National Institute for Health and Care Excellence (NICE). Reducing the risk of venous thromboembolism (deep vein thrombosis and pulmonary embolism) in patients admitted to hospital (CG92). http://guidance.nice.org.uk/CG92
8. Anderson FA Jr, Whller HB, Goldberg RJ, et al. A population-based perspective of the hospital incidence and case-fatality rates of deep vein thrombosis and pulmonary embolism. The Worcester DVT Study. Arch Intern Med 1991;151:933-8.
9. Bratzler DW, Raskob GE, Murray CK, et al. Underuse of venous thromboembolism prophylaxis for general surgery patients: physician practices in the community hospital setting. Arch Intern Med 1998;158:1909-12.
10. Conti S, Daschbach M. Venous thromboembolism prophylaxis: a survey of its use in the United States. Arch Surg 1982;117:1036-40.
11. Arnold DM, Kahn SR, Shrier I. Missed opportunities for prevention of venous thromboembolism: an evaluation of the use of thromboprophylaxis guidelines. Chest 2001;120:1964-71.
12. Yu HT, Dylan ML, Lin J, et al. Hospitals' compliance with prophylaxis guidelines for venous thromboembolism. Am J Health Syst Pharm 2007;64:69-76.
13. Ahmad H, Geissler A, MacLellan D. Deep venous thrombosis prophylaxis: are guidelines being followed? ANZ J surg 2002;72:331-4.
14. Burns PJ, Wilsom RG, Cunningham C. Venous thromboembolism prophylaxis used by consultant general surgeons in Scotland. J R Coll Surg Edinb 2001;46:329-33.
15. Harinath G, St John PH. Use of a thromboembolic risk score to improve thromboprophylaxis in surgical patients. Ann R Coll Surg Engl 1998;80:347-9.
16. Huang A, Barber N, Northeast A. Deep vein thrombosis prophylaxis protocol: needs active enforcement. Ann Royal Coll Surg Engl 2000;82:69-70.
17. McEleny P, Bowie P, Robins JB, et al. Getting a validated guideline into local practice: implementation and audit of the SIGN guideline on the prevention of deep vein thrombosis in a district general hospital. Scott Med J 1998;43:23-5.
18. Dobesh PP, Stacy ZA. Effect of a clinical pharmacy education program on improvement in the quantity and quality of venous thromboembolism prophylaxis for medically ill patients. J Manag Care Pharm 2005;11:755-62.
19. Bullock-Palmer RP, Weiss S, Hyman C. Innovative approaches to increase deep vein thrombosis prophylaxis rate resulting in a decrease in hospital-acquired deep vein thrombosis at a tertiary-care teaching hospital. J Hosp Med 2008;3:148- 55.
20. Cohn SL, Adekile A, Mahabir V. Improved use of thromboprophylaxis for deep vein thrombosis following an educational intervention. J Hosp Med 2006;1:331-8.
21. Kucher N, Koo S, Quiroz R, et al. Electronic alerts to prevent venous thromboembolism among hospitalized patients. N Engl J Med 2005;352:969-77.
22. Mosen D, Elliott CG, Egger MJ, et al. The effect of a computerized reminder system on the prevention of postoperative venous thromboembolism. Chest 2004;125:1635-41.
23. Pham DQ, Pham AQ, Ullah E, et al. Evaluating the appropriateness of thromboprophylaxis in an acute care setting using a computerised reminder, through order-entry system. Int J Clin Pract 2008;62:134-7.
24. Womack J, Jones DT, Roos D. The machine that changed the world. New York: Rawson Associates, 1990.
25. McCulloch P, Kreckler S, New S, et al. Effect of a "Lean" intervention to improve safety processes and outcomes on a surgical emergency unit. BMJ 2010;341:c5469.
26. National Institute for Clinical Excellence (NICE). Venous thromboembolism: reducing the risk of venous thromboembolism (deep vein thrombosis and pulmonary embolism) in inpatients undergoing surgery. London: NICE, 2007.
27. Verstraete M. Prophylaxis of venous thromboembolism. BMJ 1997;314:123-5.
28. Geerts WH, Bergqvist D, Pineo GF, et al. Prevention of venous thromboembolism: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th Edition). Chest 2008;133:381S-453S.
29. Ishikawa K. Introduction to quality control. New York: Productivity Press, 1990.
30. Deming WE. Out of the crisis: quality, productivity and competitive Position. Cambridge: Cambridge University Press, 1986.
31. Pronovost P, Needham D, Berenholtz S, et al. An intervention to decrease catheter-related bloodstream infections in the ICU. N Engl J Med 2006;355:2725-32.
32. McGlynn EA, Asch SM, Adams J, et al. The quality of health care delivered to adults in the United States. N Engl J Med 2003;348:2635- 45.
33. Pronovost P. Interventions to decrease catheter-related bloodstream infections in the ICU: the Keystone Intensive Care Unit Project. Am J Infect Control 2008;36:S171-5.
34. Dixon-Woods M, Bosk CL, Aveling EL, et al. Explaining Michigan: developing an ex post theory of a quality improvement program. Milbank Q 2011;89:167 -205.
35. Heit JA, Silverstein MD, Mohr DN, et al. Risk factors for deep vein thrombosis and pulmonary embolism: a population-based case-control study. Arch Intern Med 2000;160:809-15.
36. Anderson FA Jr, Spencer FA. Risk factors for venous thromboembolism. Circulation 2003;107:I9-16.
37. Spencer FA, Lessard D, Emery C, et al. Venous thromboembolism in the outpatient setting. Arch Intern Med 2007;167:1471- 5.
38. Huo MH, Muntz J. Extended thromboprophylaxis with low-molecular-weight heparins after hospital discharge in high-risk surgical and medical patients: a review. Clin Ther 2009;31:1129-41.
39. Agnelli G, Bolis G, Capussotti L, et al. A clinical outcome-based prospective study on venous thromboembolism after cancer surgery: the @RISTOS project. Ann Surg 2006;243:89-95.
40. Warwick D, Friedman RJ, Agnelli G, et al. Insufficient duration of venous thromboembolism prophylaxis after total hip or knee replacement when compared with the time course of thromboembolic events: findings from the Global Orthopaedic Registry. J Bone Joint Surg Br 2007;89:799-807.