PMID: 9533256Apr 9, 1998Paper

Getting a validated guideline into local practice: implementation and audit of the SIGN guideline on the prevention of deep vein thrombosis in a district general hospital

Scottish Medical Journal
P McElenyR C Brown

Abstract

This paper describes the implementation of a specific clinical guideline on venous thromboprophylaxis and outlines the audit design and methods used to achieve this objective. A member of the clinical staff was seconded to oversee this implementation and co-ordinate audit of current in the main clinical specialties within the trust. The Trust Clinical Audit Committee agreed to fund this low cost initiative (approximately 3,800 pounds) from clinical guideline monies. Findings from the initial audit revealed a total of 224 patients identified as 'at risk' of developing deep vein thrombosis or pulmonary embolism. Of this number 72.8%, (n = 163), were prescribed prophylaxis compared with the pre-set standard of 90.0%. Fifty four percent, (n = 122), of all identified patients were prescribed the correct prophylaxis in accordance with SIGN guideline recommendations. As a result of the initial findings local prevention protocols were developed or upgraded as required in line with the national guideline. The repeat audit findings highlighted a significant increase in the number of 'at risk' patients prescribed prophylaxis rising from 72.8% to 97.4% (P < 0.001) and similarly from 54.5% to 95.9% for those prescribed the correct prophylax...Continue Reading

References

Oct 1, 1995·Chest·G P ClagettH B Wheeler

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Citations

Jan 16, 2007·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Steven L CohnVishal Mahabir
Jul 2, 2009·Journal of Thrombosis and Haemostasis : JTH·S L Cohn
Jul 28, 2009·Journal of Thrombosis and Haemostasis : JTH·W Geerts
Oct 6, 2009·Applied Health Economics and Health Policy·Björn WettermarkFlora M Haaijer-Ruskamp
Nov 23, 2011·Postgraduate Medicine·Joshua D Lenchus
Feb 24, 2001·Clinical Performance and Quality Health Care·G C Penney, D Pearson
Nov 1, 2011·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Nancy S LloydR Brian Haynes
May 6, 2005·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Pierre-Yves SalaunChristophe Leroyer
Apr 12, 2011·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Michael J BeckChris Sciamanna
Jun 29, 2006·Cost Effectiveness and Resource Allocation : C/E·Elena V GospodarevskayaJohn McKay

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