The use of an exclusion-based risk-assessment model for venous thrombosis improves uptake of appropriate thromboprophylaxis in hospitalized medical patients

摘要: Background: Venous thromboembolism is a common condition in hospitalized medical patients. Numerous studies have demonstrated that low molecular weight heparin significantly reduces this risk but, despite this, the use of thromboprophylaxis remains poor. Aim: To evaluate an exclusion based risk-assessment model (RAM) for venous thrombosis improving uptake appropriate patients. Design: A survey with subsequent audit cycle three separate audits over 36 months. Methods: 497 patients acute conditions on general wards were audited at secondary care centre London, UK. The and performed by reviewing notes medication charts patients, prior to launch RAM 12, 28 months following its introduction. Results: Prior launching RAM, 49% received thromboprophylaxis. This did not change 12 after was introduced but increased 71% formal education health professionals involved prescription. improvement maintained as 8 later (75.9%). Conclusions: introduction simple exclusion-based improved delivery successful appears been dependent direct those carers use. similar used nationally could significant impact burden VTE currently experienced