Almost every hospitalized patient has at least one risk factor for venous thromboembolism (VTE) and most have multiple risk factors. Optimal thromboprophylaxis is helping to reduce the rate of venous thromboembolism for hospitalized patients.
Guelph General Hospital wanted to improve the percentage of adult patients prescribed the appropriate thromboprophylaxis on admission; joining the Venous Thromboembolism Collaborative, STOP THE CLOT, helped them to establish and individualize goals to each area. VTE prophylaxis is now on every pre-printed order set hospital-wide.
“The VTE Collaborative provided the opportunity to see what was working for others and adapt it to our needs, with permission,” says Pat Hood, Staff Pharmacist at Guelph General Hospital. “We had the opportunity to network with our peers and get to know people who faced similar issues. The group sessions really helped us to get further along.”
The hospital hired a second year pharmacy student, Samantha Lee, to work strictly on the VTE Collaborative. Samantha developed policies and procedures, updated the order sets and prepared letters for in-house, on call and community physicians. “Her role was to help streamline what we needed to do, keep the implementation team on a timeline, and accomplish the day-to-day things that needed to get done,” says Michelle DaGloria, Interim Quality and Patient Safety Specialist. “Using a dedicated person really helped to steer us in the right direction and keep the project on track.”
Educational materials were developed, promoting STOP THE CLOT. An online training module was produced, and VTE prophylaxis has been incorporated into general nursing education. A patient pamphlet is available and posters are displayed in the hospital elevators, empowering patients to ask about venous thromboembolism. “The hospital is exploring the possibility of investing in a dedicated TV channel for patient education and we are looking at the possibility of adding a STOP THE CLOT ticker tape on the bottom of computer screens to make everyone aware,” says Hood.
The Venous Thromboembolism Learning Collaborative, STOP THE CLOT, included virtual and face-to-face sessions, and enrolled teams were supported by expert Faculty and provided the latest knowledge available. Visit www.saferhealthcarenow.ca to learn more and download the Venous Thromboembolism Getting Started Kit for information and strategies on implementing optimal thromboprophylaxis.