Improving thromboprophylaxis in the medical inpatients: The role of the resident in an academic hospital

Introduction Venous thromboembolism (VTE) is one of the main causes of preventable in-hospital death. It is recommended for hospitals to have an appropriate thromboprophylaxis (TP) protocol to avoid VTE complications. Objective To determine the effect of the resident physician feedback to the staff...

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Published in:Phlebology 2023-03, Vol.38 (2), p.91-95
Main Authors: Torres-Quintanilla, Francisco J, Azpiri-López, José R, Romero-Ibarguengoitia, Maria E, Ponce-Sierra, Tadeo H, Martínez-Gallegos, Eunice P
Format: Article
Language:English
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Summary:Introduction Venous thromboembolism (VTE) is one of the main causes of preventable in-hospital death. It is recommended for hospitals to have an appropriate thromboprophylaxis (TP) protocol to avoid VTE complications. Objective To determine the effect of the resident physician feedback to the staff physician in TP appropriateness after the Caprini RAM score implementation. Methods Caprini RAM was implemented by the residents in medical patients. Patients were divided in low, moderate, high, and highest-risk groups, with TP recommendation accordingly. In cases with inadequate TP, the resident provided feedback to the staff physician for adjustment. Change to appropriate TP was assessed retrospectively. Results A total of 265 records were included. Before intervention, 193 (72.8%) patients had appropriate TP and post-intervention, 207 (78.1%) patients received adequate TP (p < .001). Conclusions Feedback from the internal medicine resident to staff physician improves appropriate TP in medical inpatients as a quality of care strategy.
ISSN:0268-3555
1758-1125
DOI:10.1177/02683555221147472