Patient Education Program for Venous Thromboembolism Prevention in Hospitalized Patients

Piazza, Gregory; Nguyen, Thanh Nha; Morrison, Ruth B.; Cios, Deborah; Hohlfelder, Benjamin; Fanikos, John; Paterno, Marilyn D.; Goldhaber, Samuel Z.

doi:10.1016/j.amjmed.2011.09.012

Cited by 46 publications

(39 citation statements)

References 22 publications

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“…The literature supports the premise that improving a patient's understanding of the rationale for a medication increases adherence,17 and this has been proven to apply to VTE prevention—a US study found individualised patient education sessions on thromboprophylaxis was associated with higher adherence to injectable prophylaxis 18. Another study found that discharge counselling was associated with improved adherence after hospital discharge for myocardial infarction 19…”

Section: Discussionmentioning

confidence: 89%

Patients' perceptions and experiences of the prevention of hospital-acquired thrombosis: a qualitative study

et al. 2016

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ObjectiveTo examine patients' understanding of hospital-associated thrombosis, and their experiences of thromboprophylaxis.DesignQualitative study using semi-structured interviews with 31 patients requiring venous thromboembolism (VTE) prophylaxis following a recent hospital admission. Interviews were audio-recorded, transcribed verbatim and analysed thematically using framework analysis.Setting4 hospitals in Birmingham and Oxford.ResultsAll the participants received thromboprophylaxis following surgical procedures. Participants were aware of a risk of blood clots; however, they lacked a good understanding of VTE and its components. Experiences of VTE prophylaxis were characterised with good adherence to heparin injections and poor adherence to elastic compression stockings, largely due to perceived lack of clarity in guidance from health professionals. Participants had limited knowledge of the signs and symptoms of VTE and would value improved education on VTE.ConclusionsFindings suggest that patient education is often inadequate and impacts negatively on patients' involvement in VTE prevention. An enhanced patient education programme incorporating a consistent message on the appropriate use of elastic compression stockings and description of VTE symptoms is likely to optimise the effectiveness of the prevention of hospital-associated thrombosis. Physicians may use the results of this study to improve individual patient education.

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Section: Discussionmentioning

confidence: 89%

Patients' perceptions and experiences of the prevention of hospital-acquired thrombosis: a qualitative study

et al. 2016

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“…Compared with their pre-implementation group, administration of prescribed pharmacological VTE prophylaxis was higher after the patient education intervention (94.4% vs 89.9%, p<0.0001), and documentation of patient refusal significantly decreased (29.3% vs 43.7%, p<0.001) (table 2). 27…”

Section: Resultsmentioning

confidence: 99%

Practices to prevent venous thromboembolism: a brief review

2013

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BackgroundVenous thromboembolism (VTE) is a common cause of preventable harm for hospitalised patients. Over the past decade, numerous intervention types have been implemented in attempts to improve the prescription of VTE prophylaxis in hospitals, with varying degrees of success. We reviewed key articles to assess the efficacy of different types of interventions to improve prescription of VTE prophylaxis for hospitalised patients.MethodsWe conducted a search of MEDLINE for key studies published between 2001 and 2012 of interventions employing education, paper based tools, computerised tools, real time audit and feedback, or combinations of intervention types to improve prescription of VTE prophylaxis for patients in hospital settings. Process outcomes of interest were prescription of any VTE prophylaxis and best practice VTE prophylaxis. Clinical outcomes of interest were any VTE and potentially preventable VTE, defined as VTE occurring in patients not prescribed appropriate prophylaxis.Results16 articles were included in this review. Two studies employed education only, four implemented paper based tools, four used computerised tools, two evaluated audit and feedback strategies, and four studies used combinations of intervention types. Individual modalities result in improved prescription of VTE prophylaxis; however, the greatest and most sustained improvements were those that combined education with computerised tools.ConclusionsMany intervention types have proven effective to different degrees in improving VTE prevention. Provider education is likely a required additional component and should be combined with other intervention types. Active mandatory tools are likely more effective than passive ones. Information technology tools that are well integrated into provider workflow, such as alerts and computerised clinical decision support, can improve best practice prophylaxis use and prevent patient harm resulting from VTE.

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“…To date, we are aware of a single study looking at the effects of a hospital-based intervention on patient adherence to recommended thromboprophylaxis regimens 14. In this study Piazza et al used one-on-one patient education sessions led by research pharmacists for all patients prescribed VTE thromboprophylaxis.…”

Section: Introductionmentioning

confidence: 99%

A unit-based intervention aimed at improving patient adherence to pharmacological thromboprophylaxis

et al. 2015

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Patient Education Program for Venous Thromboembolism Prevention in Hospitalized Patients

Cited by 46 publications

References 22 publications

Patients' perceptions and experiences of the prevention of hospital-acquired thrombosis: a qualitative study

Patients' perceptions and experiences of the prevention of hospital-acquired thrombosis: a qualitative study

Practices to prevent venous thromboembolism: a brief review

A unit-based intervention aimed at improving patient adherence to pharmacological thromboprophylaxis

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