What is it about?
It is recommended that patients having planned or emergency surgery related to colorectal cancer should be discharged with 28 days of clot-preventing medication, if not already on them. The frequent rotation of junior doctors is a reason for variations in prescribing practices. This quality improvement project describes how this variation was identified and remedied using six interventions involving all health professionals involved in post-operative care.
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Why is it important?
The complications arising from blood clots following major surgery can be serious, causing irreversible harm or in some cases death. It is important that patients have their risk assessed at the time of discharge, and the appropriate medication prescribed. In cases where patients are not already on blood thinning medication, it is recommended they leave with 28 days of self-injecting medication to prevent clot formation. By identifying the frequent rotation of junior doctors as a cause of lapses in prescribing practice, we hope that other institutions will use our suggested interventions to asses their practice. It is the duty of all health care professionals to liaise and communicate efficiently, but the frequent movement of staff causes messages to be lost. A robust system is therefore required to prevent lapses in prescribing practice.
Read the Original
This page is a summary of: Improving prescribing of extended prophylaxis for venous thromboembolism at discharge in patients who underwent surgery for colorectal cancer, British Journal of Hospital Medicine, December 2020, Mark Allen Group, DOI: 10.12968/hmed.2020.0405.
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