Improving rates of intermittent pneumatic compression therapy utilization

The most preventable causes of death in the hospitalized patient are deep vein thrombosis (DVT) and pulmonary embolism. Despite the long-term (> 15 years) availability of evidence-based consensus guidelines for prevention of venous thromboembolism, thromboprophylaxis remains underused. Improving...

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Bibliographic Details
Published inHospital practice (1995) Vol. 41; no. 3; p. 40
Main Authors Gardiner, D A, Kelly, B
Format Journal Article
LanguageEnglish
Published England 01.08.2013
Subjects
Anticoagulants - administration & dosage
Combined Modality Therapy
Female
Humans
Intermittent Pneumatic Compression Devices - utilization
Lower Extremity
Male
Nurse-Patient Relations
Patient Education as Topic
Pilot Projects
Practice Patterns, Nurses
Prospective Studies
Pulmonary Embolism - nursing
Pulmonary Embolism - prevention & control
Risk Factors
Treatment Outcome
Venous Thromboembolism - nursing
Venous Thromboembolism - prevention & control
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Summary:The most preventable causes of death in the hospitalized patient are deep vein thrombosis (DVT) and pulmonary embolism. Despite the long-term (> 15 years) availability of evidence-based consensus guidelines for prevention of venous thromboembolism, thromboprophylaxis remains underused. Improving staff and patient utilization of prophylactic treatment for postoperative patients reduces hospital-acquired venous thromboembolism and improves patient outcomes. Anecdotal evidence and observations of intermittent pneumatic compression (IPC) therapy utilization at the authors' institution suggested that ordered IPC therapy was not consistently in use with postsurgical patients. We sought to increase the use of IPC devices by all staff on our hospital pilot units and to promote sustained use of IPC devices. Multiple methodologies were employed to address this issue, including point prevalence audits, root-cause analyses, a nursing survey, and a pilot project on selected surgical units. Statistically significant improvements on the pilot units were achieved by implementing a 3-tier interventional plan. Our pilot project demonstrated that nurse education, patient education, and nurse attention to solving systems issues can significantly improve IPC use in surgical patients.
ISSN:2154-8331
DOI:10.3810/hp.2013.08.1067