Publicação

Audit of Compliance with Pharmacological Prophylaxis of Venous Thromboembolism in an Internal Medicine Department

Detalhes bibliográficos
Resumo:	Introduction: Venous thromboembolism (VTE) is the firstcause of preventable intra-hospital death. The goal of thisstudy was to evaluate the compliance of pharmacological prophylaxis of VTE in an Internal Medicine Department(IMD). This evaluation was based on a VTE risk assessmentguide that was established as quality indicator.Material and Methods: Observational cross-sectional studybetween 2010 and 2016. The patients admitted to IMD onthe first Friday of each month were included and hypocoagulated or absent patients on the third day of hospitalizationwere excluded. VTE risk assessment registry and prescription of prophylaxis on admission (D0) and on the third day(D3) were monitored. Adequacy rate of VTE prophylaxis (ratio between the number of patients undergoing appropriateprophylaxis and the total number of patients included) wascalculated annually in D0 and D3.Results: A total of 569 patients were selected and 149 wereexcluded. Of the 420 patients included, 403 were consideredat risk. Of these, 93.3% had a risk assessment registered inthe clinical process at admission. Fifty-four patients had acontraindication for pharmacological prophylaxis. Of the 349patients eligible for prophylaxis, 86.8% had adequate prescription on admission. There were few prescribing errors. InD0 the adequacy rate of pharmacological prophylaxis was88.1% and in D3 87.6%.Conclusion: The risk assessment registry is widespread inIMD with a very considerable high percentage of pharmacological prophylaxis adequacy. The establishment of clinicalguides and their systematic auditing allow a better understanding of reality and increase good practice, improvinghealth organization.
Autores principais:	Raquel Freitas, Ana
Outros Autores:	Brandão Calçada, Marta; Neto, Inês; Patinha, Fábia; Sousa, Elsa; Santos, Mafalda
Assunto:	Avaliação de Risco Hospitalização Tromboembolismo Venoso/prevenção e controlo Hospitalization Risk Assessment Venous Thromboembolism/prevention & control
Ano:	2018
País:	Portugal
Tipo de documento:	artigo
Tipo de acesso:	unknown
Instituição associada:	Sociedade Portuguesa de Medicina Interna
Idioma:	português
Origem:	Revista Portuguesa de Medicina Interna

Descrição
Resumo:	Introduction: Venous thromboembolism (VTE) is the firstcause of preventable intra-hospital death. The goal of thisstudy was to evaluate the compliance of pharmacological prophylaxis of VTE in an Internal Medicine Department(IMD). This evaluation was based on a VTE risk assessmentguide that was established as quality indicator.Material and Methods: Observational cross-sectional studybetween 2010 and 2016. The patients admitted to IMD onthe first Friday of each month were included and hypocoagulated or absent patients on the third day of hospitalizationwere excluded. VTE risk assessment registry and prescription of prophylaxis on admission (D0) and on the third day(D3) were monitored. Adequacy rate of VTE prophylaxis (ratio between the number of patients undergoing appropriateprophylaxis and the total number of patients included) wascalculated annually in D0 and D3.Results: A total of 569 patients were selected and 149 wereexcluded. Of the 420 patients included, 403 were consideredat risk. Of these, 93.3% had a risk assessment registered inthe clinical process at admission. Fifty-four patients had acontraindication for pharmacological prophylaxis. Of the 349patients eligible for prophylaxis, 86.8% had adequate prescription on admission. There were few prescribing errors. InD0 the adequacy rate of pharmacological prophylaxis was88.1% and in D3 87.6%.Conclusion: The risk assessment registry is widespread inIMD with a very considerable high percentage of pharmacological prophylaxis adequacy. The establishment of clinicalguides and their systematic auditing allow a better understanding of reality and increase good practice, improvinghealth organization.

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