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Vte education education education

  • This presentation will probably involve audience discussion, which will create action items. Use PowerPoint to keep track of these action items during your presentation

  • In Slide Show, click on the right mouse button

  • Select “Meeting Minder”

  • Select the “Action Items” tab

  • Type in action items as they come up

  • Click OK to dismiss this box

  • This will automatically create an Action Item slide at the end of your presentation with your points entered.

Colchester Hospital University NHS

Foundation Trust

VTE Education, Education, Education!

J Cronin, S Majeed, E Morley-Smith, K Ganesh, S Ambrozie,

M Wood, A Howard.


The Problem which will create action items. Use PowerPoint to keep track of these action items during your presentation


Numerous reports of poor prophylaxis
Numerous Reports of Poor Prophylaxis which will create action items. Use PowerPoint to keep track of these action items during your presentation

Canada

USA

UK

Australia & NZ

UK

USA

USA

UK

USA

- Belch et al 1981

- Conti & Daschbach 1982

- Jones 1991

- Fletcher et al 1992

- Stephens et al 1995

- Audet et al 1998

- Bratsler et al 1998

- George et al 1998

- Alizadeh & Hyman 2005


Questionnaire audit of surgical doctors charing cross and hammersmith hospitals 2002
Questionnaire Audit of Surgical Doctors which will create action items. Use PowerPoint to keep track of these action items during your presentationCharing Cross and Hammersmith Hospitals 2002

  • Aims - Assess prescription activities of surgical doctors for DVT prophylaxis

  • Questionnaire - 24 questions

  • Response rate - 100% (n=55)

Howard et al EVF 2003


Doctors
Doctors which will create action items. Use PowerPoint to keep track of these action items during your presentation

Howard et al EVF 2003


Surgical speciality
Surgical Speciality which will create action items. Use PowerPoint to keep track of these action items during your presentation


Doctors prescribing prophylaxis
Doctors Prescribing Prophylaxis which will create action items. Use PowerPoint to keep track of these action items during your presentation

Howard et al EVF 2003


Source of information
Source of Information which will create action items. Use PowerPoint to keep track of these action items during your presentation

Howard et al EVF 2003


Uncertainty of prophylaxis amongst doctors 91
Uncertainty of Prophylaxis which will create action items. Use PowerPoint to keep track of these action items during your presentationAmongst Doctors91%

Howard et al EVF 2003


Thromboembolic risk assessment
Thromboembolic Risk Assessment which will create action items. Use PowerPoint to keep track of these action items during your presentation

  • 3 Case Scenarios

    • High VTE risk (n=2)

    • Moderate VTE risk (n=1)

  • 45% correct risk given

  • 69% prescribed heparin & stockings

  • 96% approved of a single prophylaxis protocol

Howard et al EVF 2003


Education and awareness programme cxh 2002
Education and Awareness Programme CXH 2002 which will create action items. Use PowerPoint to keep track of these action items during your presentation

  • Lectures to all surgical HO’s and SHO’s

  • Presentations to all surgical departments (twice)

  • New hospital consensus and protocol


Audit of cxh protocol urology git vascular and breast surgery
AUDIT OF CXH PROTOCOL which will create action items. Use PowerPoint to keep track of these action items during your presentation Urology, GIT, Vascular and Breast Surgery

(n=45)

(n=34)

(p=0.1)

(p=0.03)

(p=0.003)


2006 audit of compliance with hospital single protocol
2006 which will create action items. Use PowerPoint to keep track of these action items during your presentation Audit of Compliance With Hospital Single Protocol

Only 60 patients = 19% [95% CI 14-23%]

n = 324


Failure of prophylaxis application
Failure of which will create action items. Use PowerPoint to keep track of these action items during your presentationProphylaxis Application

233 patients

Failed to receive GCS

(72%)

151 patients

Failed to receive LMWH

(47%)


Lessons learnt
Lessons Learnt! which will create action items. Use PowerPoint to keep track of these action items during your presentation

Sporadic education and audit does not maintain compliance in VTE

Why?

Silent disease until its too late

Prevention is not exciting


How Can The which will create action items. Use PowerPoint to keep track of these action items during your presentation

Situation

Be Improved?


Effective strategy
Effective Strategy which will create action items. Use PowerPoint to keep track of these action items during your presentation

  • Multifacted

  • Evidence-based protocols

  • Education

  • Risk assessment protocol

  • Computerised decision support

  • Audit with feedback

  • Specific staff for implementation


New programme 2008 colchester hospital university nhs foundation trust
New Programme 2008 which will create action items. Use PowerPoint to keep track of these action items during your presentationColchester Hospital University NHS Foundation Trust

  • New Trust guidelines

  • Online risk assessment tool

  • e-learning and education programme

  • New Drug charts

  • Thrombosis committee

  • Audit all Trust inpatients (pre-launch & ‘rolling’)

  • Electronic alerts


Vte chuft website
VTE CHUFT Website which will create action items. Use PowerPoint to keep track of these action items during your presentation


Laminated handbook
Laminated Handbook which will create action items. Use PowerPoint to keep track of these action items during your presentation


Education on risk is complex online risk assessment tool
Education on Risk is Complex which will create action items. Use PowerPoint to keep track of these action items during your presentation- Online Risk Assessment Tool

  • Patient details and date of admission

  • VTE risk factors

  • Contraindications to prophylaxis

  • Bleeding risk with LMWH

  • Printed version -> case notes


Education awareness programme
Education & Awareness Programme which will create action items. Use PowerPoint to keep track of these action items during your presentation

  • E-learning assessment

    (http://www.elearning-essexrivers.co.uk)

  • F1 and F2 teaching sessions

  • Nurse patient safety teaching sessions

  • Grand rounds

  • Clinical governance half-days

  • Electronic alerts in clinical areas


Education awareness programme1
Education & Awareness Programme which will create action items. Use PowerPoint to keep track of these action items during your presentation

  • E-learning assessment

    (http://www.elearning-essexrivers.co.uk)

  • 70% pass mark

  • Certificate of completion


Education awareness programme2
Education & Awareness Programme which will create action items. Use PowerPoint to keep track of these action items during your presentation

E-learning assessment results

  • 45 completed – 44 doctors, 1 nurse

  • F1= 23, F2= 19, SpR = 2

  • 25/45 achieved 70% on first attempt

  • 43/45 have completed (range 2-4 attempts)


Audication in vte
‘Audication’ in VTE which will create action items. Use PowerPoint to keep track of these action items during your presentation

  • Audit and vascular surgical department

  • 15 patients audited per week

  • Immediate feedback of results on ward-rounds

  • Hospital league table on intranet page/posters


Audication in infection control
‘Audication’ in Infection Control which will create action items. Use PowerPoint to keep track of these action items during your presentation

  • Hand Hygiene Officer

  • 20+ surgical patients per week

  • Immediate feedback of results on ward-rounds

  • Surgical league table on infection control board


The clean practice protocol educational poster
The Clean Practice Protocol Educational Poster which will create action items. Use PowerPoint to keep track of these action items during your presentation


Audication rounds 1 3
‘Audication’ which will create action items. Use PowerPoint to keep track of these action items during your presentationRounds 1 & 3


Hand washing round 1 3
Hand Washing Round 1 & 3 which will create action items. Use PowerPoint to keep track of these action items during your presentation

n=182


The Next Steps which will create action items. Use PowerPoint to keep track of these action items during your presentation


Patient education
Patient Education which will create action items. Use PowerPoint to keep track of these action items during your presentation

  • ‘Stop the Clot’ campaign

  • Patient information with hospital TCI letter

  • Focus Groups

  • Media help


Maintaining practice
Maintaining Practice which will create action items. Use PowerPoint to keep track of these action items during your presentation

  • Maintenance of prophylaxis and risk assessment compliance

    • Continued education and awareness

    • Appointment of DVT Nurses for Prophylaxis and Treatment

    • Clinical Governance sessions

  • E-learning assessment study

  • Improve patient education and awareness


Education, Education! which will create action items. Use PowerPoint to keep track of these action items during your presentation

Audication?


Mr adam howard
Mr Adam Howard which will create action items. Use PowerPoint to keep track of these action items during your presentation

Dept of Vascular and Laparoscopic Surgery

[email protected]

Mobile 07507646586


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