A Basic Intervention to Improve Compliance With Thromboprophylaxis in Patients With Neck of Femur Fracture.
Gupta, Keshav Kumar Sanghera, Ranjodh Singh Gella, Sreenadh
Gupta, Keshav Kumar
Sanghera, Ranjodh Singh
Gella, Sreenadh
Abstract
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.
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Date
2021
Type
Article
Subject
Collections
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.
Journal / Source Title
Ochsner Journal
DOI
10.31486/toj.20.0093
PMID
34239377
Publisher
Ochsner Clinic Foundation