Improving thromboprophylaxis in the medical inpatients: The role of the resident in an academic hospital.

IF 1.6 4区医学 Q3 PERIPHERAL VASCULAR DISEASE

Phlebology Pub Date : 2023-03-01 DOI:10.1177/02683555221147472

Francisco J Torres-Quintanilla, José R Azpiri-López, Maria E Romero-Ibarguengoitia, Tadeo H Ponce-Sierra, Eunice P Martínez-Gallegos

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引用次数: 1

Abstract

Introduction: Venous thromboembolism (VTE) is one of the main causes of preventable in-hospital death. It is recommended for hospitals to have an appropriate thromboprophylaxis (TP) protocol to avoid VTE complications.

Objective: To determine the effect of the resident physician feedback to the staff physician in TP appropriateness after the Caprini RAM score implementation.

Methods: Caprini RAM was implemented by the residents in medical patients. Patients were divided in low, moderate, high, and highest-risk groups, with TP recommendation accordingly. In cases with inadequate TP, the resident provided feedback to the staff physician for adjustment. Change to appropriate TP was assessed retrospectively.

Results: A total of 265 records were included. Before intervention, 193 (72.8%) patients had appropriate TP and post-intervention, 207 (78.1%) patients received adequate TP (p < .001).

Conclusions: Feedback from the internal medicine resident to staff physician improves appropriate TP in medical inpatients as a quality of care strategy.

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改善住院病人血栓预防:学术医院住院医师的作用。

静脉血栓栓塞(VTE)是可预防的院内死亡的主要原因之一。建议医院有适当的血栓预防(TP)方案，以避免静脉血栓栓塞并发症。目的:探讨capryini RAM评分实施后住院医师反馈给主治医师对TP适宜性的影响。方法:由住院医师对住院病人实施capryini RAM。将患者分为低、中、高、高危组，并据此推荐TP。在TP不足的情况下，住院医师向主治医师提供反馈以进行调整。对适当TP的改变进行回顾性评估。结果:共纳入265条记录。干预前有193例(72.8%)患者TP适宜，干预后有207例(78.1%)患者TP适宜(p < 0.001)。结论:内科住院医师对主治医师的反馈可提高住院患者的TP作为一种护理质量策略。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Phlebology 医学-外周血管病

CiteScore

3.30

自引率

11.80%

发文量

审稿时长

6-12 weeks

期刊介绍： The leading scientific journal devoted entirely to venous disease, Phlebology is the official journal of several international societies devoted to the subject. It publishes the results of high quality studies and reviews on any factor that may influence the outcome of patients with venous disease. This journal provides authoritative information about all aspects of diseases of the veins including up to the minute reviews, original articles, and short reports on the latest treatment procedures and patient outcomes to help medical practitioners, allied health professionals and scientists stay up-to-date on developments. Print ISSN: 0268-3555