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’sstroke unit. The relevance to acute medicine and the subsequent analysis,intervention, and results are discussed. Lessons learned, additionalchanges, and the authors’ plans for sustainable practice change are alsoaddressed.The QIP revealed inadequate adherence to VTE prevention guidelinesin stroke patients, posing a significant risk. The relevance to acute medicinelies in the vulnerability of stroke patients to VTE due to immobilityand altered coagulation profiles.The analysis found that only 60% of eligible stroke patients receivedappropriate VTE prophylaxis, necessitating an intervention to improveadherence. A multidisciplinary team developed a protocol for risk assessment,pharmacological prevention, early mobilisation, and patienteducation.The intervention significantly improved adherence to VTE preventionmeasures, with 85% of eligible stroke patients receiving appropriate prophylaxis.Lessons learned emphasised collaboration, standardised protocols,and ongoing education. Regular audits and feedback facilitatedsustained improvements.Further changes were made to enhance sustainability, including integratingthe protocol into electronic medical records, educating new staff,and appointing a VTE prevention champion.In conclusion, this study successfully implemented an intervention forVTE prevention in stroke patients, resulting in improved adherence toguidelines and reduced VTE events. The findings underscore the importanceof proactive measures and interdisciplinary collaboration in acutemedicine, ultimately enhancing patient outcomes and safety.