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Abstract: Poster Presentations |

IS IT POSSIBLE TO CREATE “THE THROMBOEMBOLISM PROPHYLAXIS CULTURE” IN THE HOSPITAL COMMUNITY AFTER AN INTENSIVE EDUCATIONAL PROGRAM? FREE TO VIEW

Eduardo F. Sad, MD*; Rodrigo S. Santos; Alice Cordeiro F. Braga; Ana Paula d. Fonseca; André D. Tavares; Christiane C. Cocate; Fernanda M. Ávila; Marcela R. Castro
Author and Funding Information

Hospital Felicio Rocho, Belo Horizonte, Brazil


Chest


Chest. 2009;136(4_MeetingAbstracts):146S. doi:10.1378/chest.136.4_MeetingAbstracts.146S-a
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Abstract

PURPOSE:  Venous thromboembolism (VTE) is an important health-care problem resulting in significant mortality, morbidity, and resource expenditure. There are few studies about the development of the “thromboembolism prophylaxis culture” in the hospital community. We aim to determine if it is feasible with an intensive educational program.

METHODS:  A cohort study was done including every (surgical and medical) inpatients to check the appropriateness of VTE thromboprophylaxis, based on VIII ACCP Guidelines, one year after the end of an intensive educational program and four months after the change of the residents, to determine if we had created a “thromboembolism prophylaxis culture” in our institution comparing to the good results during the program.

RESULTS:  Before the educational program there were 116 out of 211 (54.98%) patients with correct VTE thromboprophylaxis (ACCP recommendations), 61 out of 104 (61.54%) medical patients and 52 out of 107 (48.60%) surgical patients.Eight months after the begining of the educational program there were 182 out of 229 (79.47%) patients with correct VTE thromboprophylaxis (ACCP recommendations), 116 out of 141 (82.26%) medical patients and 66 out of 88 (75.00%) surgical patients(table 1). One year after the end of the educational program and four months after the change of the residents there were 230 out of 282 (81.56%)(p < 0,05) patients with correct VTE thromboprophylaxis (ACCP recommendations), 142 out of 164 (86.59%)(p < 0,05) medical patients and 88 out of 118 (74.58%)(p < 0,05) surgical patients(table 2).

CONCLUSION:  We believe, based on our results, that intensive educational program is an efficient and cheap intervention for adherence improvement to VTE prophylaxis guidelines because it achieved its goal of creating the “thromboembolism prophylaxis culture” in the hospital community.

CLINICAL IMPLICATIONS:  Intensive educational program is an important tool to the improvement of the thromboembolism prophylaxis in hospitalized patients creating a “prophylaxis culture” in the hospital community.

DISCLOSURE:  Eduardo Sad, No Financial Disclosure Information; No Product/Research Disclosure Information

Wednesday, November 4, 2009

12:45 PM - 2:00 PM


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