Impact of a Multicenter, Mentored Quality Collaborative on Hospital‐Associated Venous Thromboembolism

Jenkins, Ian; O'Bryan, Tamra; Holdych, Janet; Maynard, Gregory

doi:10.12788/jhm.2942

Cited by 5 publications

(2 citation statements)

References 22 publications

(70 reference statements)

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“…6 Therefore, the appropriate prophylaxis of VTE is highly important for the safety of hospitalized patients and for avoiding the sequelae of VTE. 7 The Caprini Risk Score (CRS) is the most widely used risk assessment model (RAM) for VTE in clinical practice and has been validated in medical patients and surgical patients worldwide. 8,9 The ninth edition of the American College of Chest Physicians (ACCP) Antithrombotic Therapy and Prevention of Thrombosis guidelines has recognized that the Caprini RAM can be used for stratification of non-orthopaedic surgical patients.…”

Section: Introductionmentioning

confidence: 99%

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Patient-Completed Caprini Risk Score for Venous Thromboembolism Risk Assessment: Developed and Validated from 1,017 Medical and Surgical Patients

Zhang

Liu

et al. 2022

TH Open

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Background The Caprini Risk Score (CRS) is one of the most widely used risk assessment models for venous thromboembolism (VTE). A well-validated patient-completed CRS form may allow patients to self-report and simplify the evaluation by health care workers. Methods The Chinese version of the CRS was optimized for easy understanding in a pilot study. The amended CRS form was completed by prospectively recruited patients and blinded nurses. The agreement levels of the individual questions and the total scores of patient and nurse-completed forms were compared using the Kappa value. The total scores were used for risk stratification of patients. Correlation and differences between patient and nurse-completed forms were analyzed using the Spearman correlation and Bland–Altman method, respectively. Results We recruited 504 medical patients and 513 surgical patients, aged 52.7 ± 16.3 years, of which 443 (43.6%) were men, and 91.6% of the patients were educated beyond junior high school. The patients spent less time to complete the form compared with trained nurses. There was good question-to-question agreement between patient and nurse-completed CRS (k >0.6 for most questions, p < 0.0001). The total scores also showed good agreement (k = 0.6097, p < 0.0001), and enabled the classification of patients into different risk groups. The patient and nurse-derived scores were highly correlated (Spearman's r = 0.84), and without extreme values (p < 0.0001). Conclusion We have created and verified a Chinese version of the patient-completed CRS, which showed good agreement and correlation with nurse-completed CRS. CRS represents a suitable tool for VTE risk assessment of hospitalized patients in China.

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Section: Introductionmentioning

confidence: 99%

“… 6 Therefore, the appropriate prophylaxis of VTE is highly important for the safety of hospitalized patients and for avoiding the sequelae of VTE. 7 …”

Section: Introductionmentioning

confidence: 99%

Patient-Completed Caprini Risk Score for Venous Thromboembolism Risk Assessment: Developed and Validated from 1,017 Medical and Surgical Patients

Zhang

Liu

et al. 2022

TH Open

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Development and implementation of venous thromboembolism stewardship across a hospital network

Chong

Curtain

Gad

et al. 2021

International Journal of Medical Informatics

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Venous Thromboembolism Prevention in Rehabilitation

Geerts,

Jeong,

Robinson

et al. 2024

Am J Phys Med Rehabil

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Venous thromboembolism (VTE) is a frequent complication of acute hospital care, and this extends to in-patient rehabilitation. The timely use of appropriate thromboprophylaxis in patients who are at risk is a strong, evidence-based patient safety priority that has reduced clinically important VTE, associated mortality and costs of care. While there has been extensive research on optimal approaches to VTE prophylaxis in acute care, there is a paucity of high-quality evidence specific to patients in the rehabilitation setting, and there are no clinical practice guidelines that make recommendations for (or against) thromboprophylaxis across the broad spectrum of rehabilitation patients. Herein, we provide an evidence-informed review of the topic with practice suggestions. We conducted a series of literature searches to assess the risks of VTE and its prevention related to in-patient rehabilitation as well as in major rehabilitation subgroups. Mobilization alone does not eliminate the risk of VTE after another thrombotic insult. Low molecular weight heparins (LMWHs) and direct oral anticoagulants (DOACs) are the principal current modalities of thromboprophylaxis. Based on the literature, we make suggestions for VTE prevention and include an approach for consideration by rehabilitation units that can be aligned with local practice.

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Impact of a Multicenter, Mentored Quality Collaborative on Hospital‐Associated Venous Thromboembolism

Abstract: Collaborative efforts were associated with improved prophylaxis rates and fewer HA-VTEs.

Cited by 5 publications

References 22 publications

Patient-Completed Caprini Risk Score for Venous Thromboembolism Risk Assessment: Developed and Validated from 1,017 Medical and Surgical Patients

Patient-Completed Caprini Risk Score for Venous Thromboembolism Risk Assessment: Developed and Validated from 1,017 Medical and Surgical Patients

Development and implementation of venous thromboembolism stewardship across a hospital network

Venous Thromboembolism Prevention in Rehabilitation

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