Preventing Avoidable Venous Thromboembolism Every Patient Every Time
In a webinar on March 8, 2016, members of the Johns Hopkins Venous Thromboembolism (VTE) Collaborative present strategies and insights for preventing dangerous blood clots in hospitalized patients. The webinar covers prescribing risk-appropriate prophylaxis, as well as ensuring that those doses are actually administered — an under-appreciated issue. Hear how these Johns Hopkins blood-clot prevention experts are seeking to improve administration using analytics, nurse training, patient education and other interventions. Venous thromboembolism — a term encompassing pulmonary embolism and deep-vein thrombosis – claims more than 100,000 lives a year in the United States. There is strong evidence that anti-clotting medications and mechanical prophylaxis, such as compression devices, can prevent a majority of these cases — as many as 70 percent. Yet consistently delivering these preventive steps is complex. One large study found that less than 60 percent of surgical patients and 40 percent of medical patients received the appropriate VTE-preventive steps. Since 2005, the Johns Hopkins VTE Collaborative, comprised of physicians, pharmacists, nurses, clinical analysts and others, has taken a systematic approach to preventing these blood clots. Through several strategies, such as computerized order sets, clinical decision support, and performance feedback to physicians, they have helped produce dramatic improvements in risk-appropriate ordering. They have also developed patient and nurse education programs to prevent missed doses. In addition to presenting interventions, the speakers discuss the challenges of accurately measuring VTE prophylaxis, such as the risk of surveillance bias. Webinar presenters were: • Elliott R. Haut, M.D., Ph.D., Associate Professor of Surgery • Peggy Kraus, Pharm.D., C.A.C.P., Anticoagulation Clinical Specialist, Department of Pharmacy • Michael Streiff, M.D., Medical Director, Anticoagulation Management Service and Outpatient Clinics • Brandyn Lau, M.P.H., C.P.H., Instructor of Surgery and Health Sciences Informatics • Deborah Hobson, R.N., B.S.N., Clinical Outcomes Management Analyst, Department of Surgery • Dauryne Shaffer, M.S.N., R.N., C.C.R.N., Nurse Educator, Department of Surgery More blood clot prevention resources and tools: http://www.hopkinsmedicine.org/armstrong_institute/improvement_projects/VTE/index.html