Download or read book How to Improve Compliance In Deep Venous Thrombosis written by Luca Masotti and published by SEEd. This book was released on 2012-05-24 with total page 16 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Importance of Compliance in Administering Venous Thromboembolism Prophylaxis written by Angelica Ayala and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The purpose of this study is to address the non compliance and decreased awareness by health care professionals in the importance of thromboembolism prevention. A venous thromboembolism (VTE) "occurs for the first time in 100 persons per 100,000 each year in the United States, and rises from 5 cases per 100,000 persons,15 years old to 500 cases (0.5%) per 100,000 persons at age 80 years" (White, 2014). On average "one third of patients with symptomatic VTE will get a pulmonary embolism (PE), whereas two thirds get a deep vein thrombosis (DVT) alone (White, R.H, 2014). Venous thromboembolism prophylaxis is primarily the responsibility of the healthcare professional. The patient is dependent on healthcare professionals to provide the needed care to prevent the occurrence of VTE and to educate the patient, because the patient is not knowledgeable about what is needed to ensure the non occurrence or recurrence of a VTE. It is the responsibility of the health care professional to ensure that the patient is receiving the "best evidenced based practice" possible and care available. Therefore; this study was conducted to bring to the attention, on the need to increase compliance with thromboembolism prevention procedures; and to raise the awareness on the need to educate healthcare professionals on VTE prophylaxis protocols and the need for compliance. Studies have shown that non compliance may stem from, physicians and nurses not understanding or knowing the research on evidenced based practice, thus; this study serves to encouraging the need for educating and for compliance with using prophylactic measures against thromboembolisms and to decrease VTE hospital readmittance, especially in patients that are at risk. With providing the evidenced based education and following compliance measures, setting goals, anticipating milestones, and with setting and using evidence based frameworks, VTE prevalence in at risk patients can be minimized and hospital readmittance costs can be eliminated.

Download or read book Avoiding Common ICU Errors written by Lisa Marcucci and published by Lippincott Williams & Wilkins. This book was released on 2012-01-03 with total page 908 pages. Available in PDF, EPUB and Kindle. Book excerpt: This pocket book succinctly describes 318 errors commonly made by attendings, residents, interns, nurses, and nurse-anesthetists in the intensive care unit, and gives practical, easy-to-remember tips for avoiding these errors. The book can easily be read immediately before the start of a rotation or used for quick reference on call. Each error is described in a short, clinically relevant vignette, followed by a list of things that should always or never be done in that context and tips on how to avoid or ameliorate problems. Coverage includes all areas of ICU practice except the pediatric intensive care unit.

Download or read book Implementation of a Standardized Protocol for the Identification and Treatment of Hospitalized Patients at Risk for Venous Thromboembolism written by Sharon L. Falke and published by . This book was released on 2011 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: There are nearly 900,000 cases of venous thromboembolism yearly in the United States with over 300,000 deaths, a figure that exceeds that of most other diseases. This incidence rate is echoed in global studies, with an acknowledged poor adherence to clinical practice guideline recommendations for the prevention of this serious hosptial-acquired condition. Venous thromboembolism is the primary patient safety concern for many of the health care regulating bodies, including the Centers for Medicare and Medicaid, National Quality Forum, and The Joint Commission. It has been recognized as the most preventable cause of hospital deaths; therefore, many insurance payers will limit reimbursement for the added cost of care required in the event of this complication. Arizona hospitals are in the median range when evalutated for compliance with the guideline recommendations and for initiating venous thromboembolism prophylaxis, with a moderate improvement noted in those partiicpating in more closely monitored programs. This capstone project was initiated at a small community hospital that initially had an abysmal rate of adherence with the prevention protocol, and seldom acknowledged the disease risk during patient assessments, with the goal of improvement in regulatory comliance and amelioration of patients safety with a reduction in morbidity and mortality. The theoretical foundation for this project was the Rosswurm and Larrabee conceptual model and the constructivism adult learner theory; additionally, protocols and an audit-feedback system were used as a reinforcement tool. This project was initiated as part of the admission process for inpatients, with each patient expected to be assessed for venous thromboembolism potential within 24 hours using the Caprini risk assessment model. The hospitalist clinicians were provded copies of the model along with the accompanying instruction tool during an educational briefing. Once they were aprised of the disease risks, patient benefits, regulatory requirements, and financial incentives, copies of the risk assessment tool were placed on each medical chart and at each dictation station as a reminder of the protocol. During the first month of this project evaluation, an improvement was noted in guideline adherence from 23% to over 59% of patients assessed for risk and of those found to be at risk, the percentage of patients actually receiving treatment increased from 31% to 77%, demonstrating significant improvement. The expected improvement outcome is 25% to 40% with the use of similar methods as this project. The primary adverse effect of chemoprophylaxis is hemorrhage; however there were no incidences of increased bleeding noted during this evaluation and three incidents of deep vein thrombosis in untreated patients, clearly illustrating the importance of this therapy. This project demonstrated the critical importance of recognizing the risk for thromboembolism, determining the appropriate therapy with consideration for confounding factors, and administering that therapy for an adequate time period. This project supports the recommendations of the clinical practice guidelines and the governmental regulations surrounding the issue, and provides the hospital with a framework for compliance with accreditation and regulating core measures.

Download or read book Management of Acute Pulmonary Embolism written by Stavros V. Konstantinides and published by Springer Science & Business Media. This book was released on 2007-12-31 with total page 273 pages. Available in PDF, EPUB and Kindle. Book excerpt: This practical volume highlights traditional, novel, and evolving aspects of the diagnosis and treatment of pulmonary embolism (PE). The contributors comprise an international team of experts. Important aspects of diagnosis, risk stratification, and differential treatment of patients with PE are presented in a concise, yet comprehensive manner. Emphasis is placed on specific issues related to PE, including pregnancy, cancer, thrombophilia, and air travel.

Download or read book Cancer Associated Thrombosis written by Alok A. Khorana and published by CRC Press. This book was released on 2007-09-26 with total page 290 pages. Available in PDF, EPUB and Kindle. Book excerpt: Showcasing the expertise of top-tier specialists who contributed to the newly released guidelines for the care of thrombosis in cancer patients, this exciting guide was written and edited by members of the American Society of Clinical Oncology panel, (ASCO), on the prevention and treatment of cancer-associated thrombosis, among others, and provides

Download or read book Reducing Deep Vein Thrombosis in Acute Rehabilitation Using Education and Tool Automation written by Elizabeth L. Levine and published by . This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "The purpose of the evidence-based practice (EBP) change project was to improve knowledge of deep vein thrombosis (DVT) prophylaxis, improve provider adherence to standardized prophylaxis guidelines, and decrease the incident rate of DVTs. Despite the known health risk, established DVT healthcare standards are often neglected by healthcare providers (Agency for Healthcare Research and Quality, 2014). The project focused on providers implementing established clinical guidelines to decrease the incidence rate of DVTs in a 115 bed acute rehabilitation hospital. A literature review and established guidelines for antithrombotic therapies yielded an automated tool which assigned risk values to patients and prophylaxis prescription guidance. After a one hour education session, providers consistently used an electronic DVT risk assessment tool to assess new patients and guide prescription decision making. Pre and post education tests measured provider knowledge and education effectiveness. Descriptive statistics evaluated test results and tool usage, as well as DVT benchmark and project comparison incidence rates from hospital electronic medical records diagnostic data. Three outcomes were attained. Provider knowledge increase in mean score was 43% with a t-test result of 2.364 (p=0.003). The compliance rate using the assessment tool was 97.6%. There was reduction in incidence rates of DVTs from the benchmark of 25% to the project rate of 1.6% of patients. Assessment aided by automation enabled appropriate DVT prophylaxes. The DVT risk assessment tool remains in place for providers. Automated DVT risk management results in shorter hospital stays and improved patient outcomes. Keywords: deep vein thrombosis, evidence-based practice change, rehabilitation" -- Abstract.

Download or read book Making Health Care Safer written by and published by Department of Health and Human Services. This book was released on 2001 with total page 744 pages. Available in PDF, EPUB and Kindle. Book excerpt: "This project aimed to collect and critically review the existing evidence on practices relevant to improving patient safety"--P. v.

Download or read book Safe Patients Smart Hospitals written by Peter Pronovost and published by Penguin. This book was released on 2010-02-18 with total page 237 pages. Available in PDF, EPUB and Kindle. Book excerpt: The inspiring story of how a leading innovator in patient safety found a simple way to save countless lives. First, do no harm-doctors, nurses and clinicians swear by this code of conduct. Yet in hospitals and doctors' offices across the country, errors are made every single day - avoidable, simple mistakes that often cost lives. Inspired by two medical mistakes that not only ended in unnecessary deaths but hit close to home, Dr. Peter Pronovost made it his personal mission to improve patient safety and make preventable deaths a thing of the past, one hospital at a time. Dr. Pronovost began with simple improvements to a common procedure in the ER and ICU units at Johns Hopkins Hospital. Creating an easy five-step checklist based on the most up-to-date research for his fellow doctors and nurses to follow, he hoped that streamlining the procedure itself could slow the rate of infections patients often died from. But what Dr. Pronovost discovered was that doctors and nurses needed more than a checklist: the day-to-day environment needed to be more patient-driven and staff needed to see scientific results in order to know their efforts were a success. After those changes took effect, the units Dr. Pronovost worked with decreased their rate of infection by 70%. Today, all fifty states are implementing Dr. Pronovost's programs, which have the potential to save more lives than any other medical innovation in the past twenty-five years. But his ideas are just the beginning of the changes being made by doctors and nurses across the country making huge leaps to improve patient care. In Safe Patients, Smart Hospitals, Dr. Pronovost shares his own experience, anecdotal stories from his colleagues at Johns Hopkins and other hospitals that have made his approach their own, alongside comprehensive research-showing readers how small changes make a huge difference in patient care. Inspiring and thought provoking, this compelling book shows how one person with a cause really can make a huge difference in our lives.

Download or read book Prevention And Management Of Venous Thromboembolism written by Patrick Kesteven and published by World Scientific. This book was released on 2015-05-11 with total page 262 pages. Available in PDF, EPUB and Kindle. Book excerpt: Venous thrombosis occurs in all healthcare settings and all specialties in nursing and medicine. It causes more deaths every year than MRSA or road accidents and is not just a topic for experts and specialists. In spite of this, there is a lack of easily accessible information for non-experts on venous thromboembolism (VTE), and consequently the condition is often treated poorly and preventive measures are often used inconsistently. Prevention and Management of Venous Thromboembolism takes the first step towards rectifying this dearth of information. It bring together a unique group of vascular surgeons, haematologists and other experts who help shape the management of VTE and is aimed at both the multi-disciplinary teams involved in the day-to-day care of patients with VTE, and allied health professionals and healthcare commissioners. The book's approach is broad and comprehensive and there are separate sections dealing with prevention, diagnosis and treatment. This is an expert-level book accessible to non-experts.

Download or read book Deep Vein Thrombosis and Pulmonary Embolism written by Edwin J. R. van Beek and published by John Wiley & Sons. This book was released on 2009-03-12 with total page 584 pages. Available in PDF, EPUB and Kindle. Book excerpt: Dedicated to dealing with a challenging disease, previously thought to be incurable, but with the advent of new drugs, now amenable to management and a much improved prognosis for patients. - Latest publication in a fast-moving area of keen clinical interest - Authored by leading international authorities - Builds on success of a respected first edition - Incorporates new data on latest imaging technologies and therapies - Covers both the science and clinical aspects, including presentation, surgical intervention and drug therapy - Includes coverage of both Pulmonary Embolism and Deep Vein Thrombosis

Download or read book Textbook of Stroke Medicine written by Michael Brainin and published by Cambridge University Press. This book was released on 2014-09-11 with total page 425 pages. Available in PDF, EPUB and Kindle. Book excerpt: Fully revised throughout, the new edition of this concise textbook is aimed at doctors preparing to specialize in stroke care.

Download or read book Hemostasis and Thrombosis written by Victor J. Marder and published by Lippincott Williams & Wilkins. This book was released on 2012-12-27 with total page 5220 pages. Available in PDF, EPUB and Kindle. Book excerpt: Since publication of the First Edition in 1982, Hemostasis and Thrombosis has established itself as the pre-eminent book in the field of coagulation disorders. No other book is as inclusive in scope, with coverage of the field from the standpoint of both basic scientists and clinicians. This comprehensive resource details the essentials of bleeding and thrombotic disorders and the management of patients with these and related problems, and delivers the most up-to-date information on normal biochemistry and function of platelets or endothelial cells, as well as in-depth discussions of the pharmacology of anticoagulant, fibrinolytic, and hemostatic drugs. NEW to the Sixth Edition... • A new team of editors, each a leader in his field, assures you of fresh, authoritative perspectives. • Full color throughout • A companion website that offers full text online and an image bank. • A new introductory section of chapters on basic sciences as related to the field • Entirely new section on Hemostatic and Thrombotic Disorders Associated with Systemic Conditions includes material on pediatric patients, women's health issues, cancer, sickle cell disease, and other groups. • Overview chapters preceding each section address broad topics of general importance. This is the tablet version which does not include access to the supplemental content mentioned in the text.

Download or read book Oxford Textbook of Critical Care written by Webb and published by Oxford University Press. This book was released on 2020-01-10 with total page 1961 pages. Available in PDF, EPUB and Kindle. Book excerpt: Now in paperback, the second edition of the Oxford Textbook of Critical Care is a comprehensive multi-disciplinary text covering all aspects of adult intensive care management. Uniquely this text takes a problem-orientated approach providing a key resource for daily clinical issues in the intensive care unit. The text is organized into short topics allowing readers to rapidly access authoritative information on specific clinical problems. Each topic refers to basic physiological principles and provides up-to-date treatment advice supported by references to the most vital literature. Where international differences exist in clinical practice, authors cover alternative views. Key messages summarise each topic in order to aid quick review and decision making. Edited and written by an international group of recognized experts from many disciplines, the second edition of the Oxford Textbook of Critical Careprovides an up-to-date reference that is relevant for intensive care units and emergency departments globally. This volume is the definitive text for all health care providers, including physicians, nurses, respiratory therapists, and other allied health professionals who take care of critically ill patients.

Download or read book Acute Pulmonary Embolism written by A. Geibel and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 202 pages. Available in PDF, EPUB and Kindle. Book excerpt: The value of echocardiography in the diagnostic work-up of patients with suspected acute pulmonary embolism.- New developments in the thrombolytic therapy of venous thrombosis.- Mechanism of blood coagulation. Newer aspects of anticoagulant and antithrombotic therapy.MR-angiography in the diagnosis of pulmonary embolism.Scintigraphy-ventilation/perfusion scanning and imaging of the embolus.- Clinical course and prognosis of acute pulmonary embolism.- The molecular mechanisms of inherited thombophilia.

Download or read book Perioperative Care of the Orthopedic Patient written by C. Ronald MacKenzie and published by Springer. This book was released on 2014-08-01 with total page 403 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written by experts at the top-ranked Hospital for Special Surgery in New York, Perioperative Care of the Orthopedic Patient is a comprehensive, multidisciplinary manual providing preoperative considerations, postoperative complications, and guidelines for the anesthetic and medical management of patients undergoing orthopedic surgery. Beginning with chapters covering preoperative evaluations and general principles and practices of perioperative medicine, the book then considers anesthesiologic management in orthopedic surgery and the role of postoperative pain management. This is followed by a section on medical management in specific clinical settings, discussing patients with connective tissue disease, cardiac disease, chronic pulmonary and renal diseases, diabetes and psychiatric and neurological diseases. A fourth section covers specific perioperative problems in orthopedic surgery, such as care of the elderly patient, venous thromboembolism, infection, nutrition, compartment syndrome, and bone health. Finally, the role of allied services, quality improvement and ethics are highlighted, and selected case studies are included to illustrate real-world perioperative issues and management strategies in orthopedic surgery. A comprehensive yet concise reference, Perioperative Care of the Orthopedic Patient will be an invaluable resource for orthopedic surgeons, sports medicine specialists and any professional involved in orthopedic surgery.

Download or read book Vessel Health and Preservation The Right Approach for Vascular Access written by Nancy L. Moureau and published by Springer. This book was released on 2019-06-10 with total page 303 pages. Available in PDF, EPUB and Kindle. Book excerpt: This Open access book offers updated and revised information on vessel health and preservation (VHP), a model concept first published in poster form in 2008 and in JVA in 2012, which has received a great deal of attention, especially in the US, UK and Australia. The book presents a model and a new way of thinking applied to vascular access and administration of intravenous treatment, and shows how establishing and maintaining a route of access to the bloodstream is essential for patients in acute care today. Until now, little thought has been given to an intentional process to guide selection, insertion and management of vascular access devices (VADs) and by default actions are based on crisis management when a quickly selected VAD fails. The book details how VHP establishes a framework or pathway model for each step of the patient experience, intentionally guiding, improving and eliminating risk when possible. The evidence points to the fact that reducing fragmentation, establishing a pathway, and teaching the process to all stakeholders reduces complications with intravenous therapy, improves efficiency and diminishes cost. As such this book appeals to bedside nurses, physicians and other health professionals.