A Basic Intervention to Improve Compliance With Thromboprophylaxis in Patients With Neck of Femur Fracture.
Affiliation
Sandwell and West Birmingham NHS TrustPublication date
2021
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Background: Venous thromboembolism (VTE) is a significant complication following orthopedic intervention for neck of femur fracture. Our aim was to evaluate compliance with The National Institute for Health and Care Excellence guidance surrounding VTE prophylaxis before and after a brief intervention in an orthopedic department at a district general hospital. Methods: A 2-cycle quality improvement project was conducted. The primary outcome measure was whether adequate thromboprophylaxis was appropriately prescribed. For the intervention between the 2 cycles, posters were placed in key prescribing areas of all orthopedic wards. Results: In cycle 1, 63 (76.8%) patients were correctly prescribed enoxaparin, and 14 (17.1%) were prescribed other anticoagulants, leaving 5 patients (6.1%) who did not receive thromboprophylaxis for no apparent reason. In cycle 2, 56 (87.5%) patients were correctly prescribed enoxaparin, and the remaining patients were covered with alternative therapies. Conclusion: Small but basic interventions can lead to improvements in VTE prophylaxis prescribing. Future focus should be on implementing similar interventions across hospitals.Citation
Gupta, V. K., Gupta, K. K., Sanghera, R. S., & Gella, S. (2021). A Basic Intervention to Improve Compliance With Thromboprophylaxis in Patients With Neck of Femur Fracture. Ochsner journal, 21(2), 173–176.Type
ArticlePMID
34239377Journal
Ochsner JournalPublisher
Ochsner Clinic Foundationae974a485f413a2113503eed53cd6c53
10.31486/toj.20.0093