From theory to practice: adherence to clinical practice guidelines for thromboprophylaxis in surgical patients in Colombia.
The development of venous thromboembolism (VTE) in surgical patients is a serious public health problem since it increases morbidity and mortality rates, as well as the costs associated with in-hospital care for this population. Notwithstanding the above, and although their effectiveness has been de...
| Publicado en: | Revista Facultad de Medicina de la Universidad Nacional de Colombia Vol. 71; no. 1; pp. 1 - 11 |
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| Autores principales: | , , |
| Formato: | Artículo |
| Publicado: |
Universidad Nacional de Colombia
2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=lth&AN=169819942&site=ehost-live header: @attributes: shortDbName: lth uiTerm: 169819942 longDbName: MedicLatina uiTag: AN controlInfo: bkinfo: jinfo: jid: 01200011 78E0 jtl: Revista Facultad de Medicina de la Universidad Nacional de Colombia issn: 01200011 maglogo: N pubinfo: dt: 2023 vid: 71 iid: 1 pid: 12967 pub: Universidad Nacional de Colombia artinfo: ui: 169819942 10.15446/revfacmed.v71n1.95003 ppf: 1 ppct: 10 formats: fmt: @attributes: type: P size: 829KB tig: atl: From theory to practice: adherence to clinical practice guidelines for thromboprophylaxis in surgical patients in Colombia. aug: au: Quintana-Montejo, Natalia Valentín Vega-Peña, Neil Carlos Domínguez-Torres, Luis affil: Universidad de la Sabana - Faculty of Medicine - Department of Surgery - Chía - Colombia su: Medical personnel Thromboembolism Death rate Colombia sug: subj: Colombia Medical personnel Thromboembolism Death rate keyword: Embolism Guideline Adherence Physicians' Practice Guideline Practice Patterns Pre-Exposure Prophylaxis Thrombosis Adhesión a directriz Embolia Guía de práctica clínica Pautas de la práctica en medicina Profilaxis Pre-exposición Trombosis ab: The development of venous thromboembolism (VTE) in surgical patients is a serious public health problem since it increases morbidity and mortality rates, as well as the costs associated with in-hospital care for this population. Notwithstanding the above, and although their effectiveness has been demonstrated, prophylactic measures are not properly used in these patients in Colombia. A possible cause of this situation is the poor adherence of health professionals to clinical practice guidelines (CPG) addressing the prevention of VTE. In this regard, several methodological approaches to achieve an adequate implementation of thromboprophylaxis by transforming physicians' behaviors have been described. However, to accomplish this, it is necessary to comprehensively consider the multifactorial barriers and sociological conditions that underlie this problem. Better adherence to VTE prophylaxis CPGs is known to lead to better clinical practice. Therefore, the aim of this paper is to carry out a reflective analysis of the causes and possible solutions to the low adherence of Colombian health professionals to these guidelines. El desarrollo del tromboembolismo venoso (TEV) en pacientes quirúrgicos representa un serio problema de salud pública, pues aumenta las tasas de morbimortalidad y los costos asociados con la atención intrahospitalaria de esta población. No obstante lo anterior, y a pesar de que su efectividad ha sido demostrada, en Colombia las medidas profilácticas no son utilizadas de forma adecuada en estos pacientes. Una posible causa de esta situación es la pobre adherencia de los profesionales de la salud a las guías de práctica clínica (GPC) para la prevención del TEV. En este sentido, se han descrito varias aproximaciones metodológicas para lograr una adecuada implementación de la tromboprofilaxis al transformar los comportamientos de los médicos. Sin embargo, para lograr este propósito es necesario considerar de forma integral las barreras multifactoriales y las condiciones sociológicas que subyacen a este problema. Se sabe que una mejor adherencia a las GPC de profilaxis del TEV conduce a una mejor práctica clínica. Por lo tanto, el objetivo de este artículo fue realizar un análisis reflexivo de las causas y posibles soluciones de la baja adherencia de los profesionales de la salud en Colombia a dichas guías. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: Y custom: Copyright of Revista Facultad de Medicina de la Universidad Nacional de Colombia is the property of Universidad Nacional de Colombia and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. item: Revista Facultad de Medicina de la Universidad Nacional de Colombia holder: Universidad Nacional de Colombia dt: @attributes: year: 2023 holdings: @attributes: islocal: N |
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