QIP on VTE prevention in stroke patients within 24 hours

Abstract

This abstract focuses on the initial problem of suboptimal venous thromboembolism
(VTE) prevention among stroke patients in our hospital’s
stroke unit. The relevance to acute medicine and the subsequent analysis,
intervention, and results are discussed. Lessons learned, additional
changes, and the authors’ plans for sustainable practice change are also
addressed.
The QIP revealed inadequate adherence to VTE prevention guidelines
in stroke patients, posing a significant risk. The relevance to acute medicine
lies in the vulnerability of stroke patients to VTE due to immobility
and altered coagulation profiles.
The analysis found that only 60% of eligible stroke patients received
appropriate VTE prophylaxis, necessitating an intervention to improve
adherence. A multidisciplinary team developed a protocol for risk assessment,
pharmacological prevention, early mobilisation, and patient
education.
The intervention significantly improved adherence to VTE prevention
measures, with 85% of eligible stroke patients receiving appropriate prophylaxis.
Lessons learned emphasised collaboration, standardised protocols,
and ongoing education. Regular audits and feedback facilitated
sustained improvements.
Further changes were made to enhance sustainability, including integrating
the protocol into electronic medical records, educating new staff,
and appointing a VTE prevention champion.
In conclusion, this study successfully implemented an intervention for
VTE prevention in stroke patients, resulting in improved adherence to
guidelines and reduced VTE events. The findings underscore the importance
of proactive measures and interdisciplinary collaboration in acute
medicine, ultimately enhancing patient outcomes and safety.