The Saudi clinical practice guideline for the prophylaxis of venous thromboembolism in medical and critically ill patients

Abstract

Venous thromboembolism (VTE) acquired during hospitalization is common, yet preventable by the proper implementation of thromboprophylaxis which remains to be underutilized worldwide. As a result of an initiative by the Saudi Ministry of Health to improve medical practices in the country, an expert panel led by the Saudi Association for Venous Thrombo Embolism (SAVTE; a subsidiary of the Saudi Thoracic Society) with the methodological guidance of the McMaster University Guideline working group, produced this clinical practice guideline to assist healthcare providers in VTE prevention. The expert part panel issued ten recommendations addressing 10 prioritized questions in the following areas: thromboprophylaxis in acutely ill medical patients (Recommendations 1-5), thromboprophylaxis in critically ill medical patients (Recommendations 6-9), and thromboprophylaxis in chronically ill patients (Recommendation 10). The corresponding recommendations were generated following the GRADE (Grading of Recommendations, Assessment, Development and Evaluation) approach.

Thromboprophylaxis and mortality among patients who developed venous thromboembolism in seven major hospitals in Saudi Arabia

“…Recently, the Saudi Ministry of Health has endorsed national clinical practice guidelines on thromboprophylaxis. [ 31 ] Healthcare administrative authorities should assess the effectiveness of selected strategies as modifications may be needed depending on results. We found that surgical patients received thromboprophylaxis significantly more often than medical patients.…”

Depression Management Physician Order: New initiatives at the Mental Hospital of Ministry of Health in Saudi Arabia

“…[1] The general administration of pharmaceutical care shared in publications of those guidelines. [2][3] The administration started evidence-based pharmacy system in early 2015 through drug information center. [4] Several national pharmacy practice programs implemented at Ministry of health hospitals including stewardship antimicrobial program, anticoagulation system and pain management services.…”

Attitudes and Perceptions of Healthcare Professionals towards Pharmaceutical Care Services in Kingdom of Saudi Arabia

“…The teams finished from several guidelines for instance but not limited to anticoagulation surgical prophylaxis in critically ill patients, anticoagulation surgical prophylaxis of extended travel and chronic illness. [10,11] There were programs engrossed on cost-related issues, for instance, Pharmacoeconomics programs, a cost avoidance of medication error prevention, a cost avoidance of drug information centers, a cost avoidance of pharmacist intervention and cost also preventable of pharmacist running Total Parental Nutrition (TPN). [10][11][12] The primary objective of the program was to recognize and prevent drug-related problems; through healthcare provider's awareness towards medications.…”

“…The Healthcare professional knowledge about prescribed medication is a vital factor in decisive their compliance a patient and outcome of a disease. [11,12] The healthcare providers can improve pharmacist communication skills with enough proving of medications knowledge and patient education about medications. The implementation of pharmaceutical care concept is highly challenging for healthcare professionals and drug information resources should be available to all healthcare providers.…”