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VTE Risk Assessment & Prophylaxis in OB

Engage the entire clinical team to implement new VTE risk assessment and prophylaxis guidelines in obstetrics. Train frontline providers, increase documentation rates, and enhance patient education for improved outcomes.

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VTE Risk Assessment & Prophylaxis in OB

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  1. VTE Risk Assessment & Prophylaxis in OB Engaging the Entire Clinical Team to Achieve QI Success

  2. Today’s Panel • Ron Iverson, Moderator • Ginny Combs, Nursing • Marie Kourtelidis, Midwifery • Rachel Shelley-Abrahamson, Medical Student • Roxanne Handal-Orefice, OB Resident • Emma Trucks, CME

  3. Project Aims: In-House Prophylaxis • To adopt new set of VTE risk assessment and prophylaxis guidelines and train all frontline providers on L&D by December 2015. • Increase the percentage of L&D admitted patients who have a VTE risk assessment documented to 80% by June 2016. • Increase the percentage of VTE risk assessment result documented in the patient’s problem list to 80% by June 2016. • Increase the percentage of high risk postpartum women receiving prophylactic enoxaparin in-house to 80% by June 2016 • Roll out a VTE Risk Assessment flowsheet and order set by July 2016.

  4. Project Aims: Discharge Prophylaxis • To discharge 90% of high-risk patients home from BMC on enoxaparin by September 2016. • To educate 100% of high-risk patients on self-administration of enoxaparin by September 2016. • For 60% of high-risk patients to report use of at least one dose of enoxaparin at home following discharge by September 2016. (Note: New aim – 90%!) • To train postpartum nursing staff on enoxaparin patient education by June 2016.

  5. Intervention Timeline Part 1

  6. Intervention Timeline Part 2

  7. % of pts w/ RA documented on Problem List Integration of Risk Assessment flowsheet and Connected Order Sets into EMR

  8. % of pts at High Risk for VTE

  9. % of high risk pts receiving prophylactic heparin during admission

  10. % of High Risk Pts who had LMWH prescribed at discharge Initiated Continuing Prophylaxis at Discharge PDSAs Integration of Risk Assessment flowsheet and Connected Order Sets into EMR

  11. % of Pts who received bedside education Initiated Continuing Prophylaxis at Discharge PDSAs

  12. % of Pts who reported picking up medication

  13. % of pts who injected at least one dose of Enoxaparin post discharge

  14. Breakdown of who administered injection at home

  15. Today’s Panel • Ron Iverson, Moderator • Ginny Combs, Nursing • Marie Kourtelidis, Midwifery • Rachel Shelley-Abrahamson, Medical Student • Roxanne Handal-Orefice, OB Resident • Emma Trucks, CME

  16. Questions? Ron Iverson, MD Ronald.Iverson@bmc.org

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