A unit-based intervention aimed at improving patient adherence to pharmacological thromboprophylaxis.
Charles Alexander Baillie, James P Guevara, Raymond C Boston, Todd EH Hecht
BMJ Qual Saf | Published : 2015
BACKGROUND: Pharmacological thromboprophylaxis is necessary among many hospitalised patients to prevent venous thromboembolism (VTE). However, a significant number of clinician-ordered doses are not administered with many doses refused by patients. We aimed to assess the impact and sustainability of a multifaceted intervention to improve medication adherence to pharmacological thromboprophylaxis. The intervention included a standardised nursing response to patient refusal, daily assessment of VTE prophylaxis usage and regular feedback on refusal rates. METHODS: We conducted a quasi-experimental study of patients admitted between January 2010 and November 2012 to one of six hospital intervent..View full abstract