Improving thromboprophylaxis in the medical inpatients: The role of the resident in an academic hospital.
Introduction: Venous thromboembolism (VTE) is one of the main causes of preventable in-hospital death. It is recommended for hospitals to have an appropriate thromboprophylaxis (TP) protocol to avoid VTE complications. Objective: To determine the effect of the resident physician feedback to the staf...
| Published in: | Phlebology Vol. 38; no. 2; pp. 91 - 96 |
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| Main Authors: | , , , , |
| Format: | research tables/charts Journal Article |
| Published: |
Sage Publications Inc.
Mar2023
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=162243596&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 162243596 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02683555 O4Z jtl: Phlebology issn: 02683555 maglogo: Y pubinfo: dt: Mar2023 vid: 38 iid: 2 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 162243596 160862470 162243596 162243596 10.1177/02683555221147472 162243596 ppf: 91 ppct: 5 formats: tig: atl: Improving thromboprophylaxis in the medical inpatients: The role of the resident in an academic hospital. aug: au: Torres-Quintanilla, Francisco J Azpiri-López, José R Romero-Ibarguengoitia, Maria E Ponce-Sierra, Tadeo H Martínez-Gallegos, Eunice P affil: Department of Internal Medicine, Christus Muguerza Hospital Alta Especialidad, 27808 Universidad de Monterrey, San Pedro Garza Garcia, Mexico sug: subj: Quality Improvement Venous Thromboembolism Prevention and Control Chemoprevention Hospitalization Interns and Residents Student Role Feedback Medical Staff, Hospital Physicians Implementation Science Venous Thromboembolism Risk Factors Risk Assessment Academic Medical Centers Human Inpatients Retrospective Design Descriptive Statistics Internal Medicine Guideline Adherence Venous Thrombosis Prevention and Control ab: Introduction: Venous thromboembolism (VTE) is one of the main causes of preventable in-hospital death. It is recommended for hospitals to have an appropriate thromboprophylaxis (TP) protocol to avoid VTE complications. Objective: To determine the effect of the resident physician feedback to the staff physician in TP appropriateness after the Caprini RAM score implementation. Methods: Caprini RAM was implemented by the residents in medical patients. Patients were divided in low, moderate, high, and highest-risk groups, with TP recommendation accordingly. In cases with inadequate TP, the resident provided feedback to the staff physician for adjustment. Change to appropriate TP was assessed retrospectively. Results: A total of 265 records were included. Before intervention, 193 (72.8%) patients had appropriate TP and post-intervention, 207 (78.1%) patients received adequate TP (p <.001). Conclusions: Feedback from the internal medicine resident to staff physician improves appropriate TP in medical inpatients as a quality of care strategy. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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