PT  - JOURNAL ARTICLE
AU  - Vinay Kumar Gupta
AU  - Keshav Kumar Gupta
AU  - Ranjodh Singh Sanghera
AU  - Sreenadh Gella
TI  - A Basic Intervention to Improve Compliance With Thromboprophylaxis in Patients With Neck of Femur Fracture
AID  - 10.31486/toj.20.0093
DP  - 2021 Jun 20
TA  - Ochsner Journal
PG  - 173--176
VI  - 21
IP  - 2
4099  - http://www.ochsnerjournal.org/content/21/2/173.short
4100  - http://www.ochsnerjournal.org/content/21/2/173.full
SO  - Ochsner J2021 Jun 20; 21
AB  - Background: Venous thromboembolism (VTE) is a significant complication following orthopedic intervention for neck of femur fracture. Our aim was to evaluate compliance with The National Institute for Health and Care Excellence guidance surrounding VTE prophylaxis before and after a brief intervention in an orthopedic department at a district general hospital.Methods: A 2-cycle quality improvement project was conducted. The primary outcome measure was whether adequate thromboprophylaxis was appropriately prescribed. For the intervention between the 2 cycles, posters were placed in key prescribing areas of all orthopedic wards.Results: In cycle 1, 63 (76.8%) patients were correctly prescribed enoxaparin, and 14 (17.1%) were prescribed other anticoagulants, leaving 5 patients (6.1%) who did not receive thromboprophylaxis for no apparent reason. In cycle 2, 56 (87.5%) patients were correctly prescribed enoxaparin, and the remaining patients were covered with alternative therapies.Conclusion: Small but basic interventions can lead to improvements in VTE prophylaxis prescribing. Future focus should be on implementing similar interventions across hospitals.