J Clin Outcomes Manage
Strategies to optimize the prevention of venous thromboembolism: process improvement practices
Abstract Objective: To identify processes that may help hospitals and health care professionals optimize current venous thromboembolism (VTE) prophylaxis practices. Methods: Review of the literature. Results: Consistent with other sectors of society, the application of business models and improvement tools, such as PDCA (Plan, Do, Check, Act), Six Sigma DMAIC (Define, Measure, Analyze, Improve, Control), root cause analysis, and Corrective Actions Programs may help direct quality improvement processes for VTE prevention in individual hospitals or institutions. Several real-world examples are described using these quality improvement process models for identifying and implementing active VTE prevention strategies, such as computer-based clinical decision support systems, risk assessment forms, and educational interventions. Conclusion: Each hospital should undergo a process of quality improvement to identify needs for optimizing VTE prevention, and to select a strategy that is most appropriate for their local needs. Despite the clear gap between current practice and guideline-recommended practice, substantial improvements in VTE prevention can be made
Reports from the Field
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