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Thromboprophylaxis after major orthopedic surgery: Improving compliance with clinical practice guidelines

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dc.creatorBautista, Mariaspa
dc.creatorLlinás, Adolfospa
dc.creatorBonilla, Guillermospa
dc.creatorMieth, Klausspa
dc.creatorDiaz, Mariospa
dc.creatorRodriguez, Fernandaspa
dc.creatorReplacements, The Clinical Care Program in Jointspa
dc.date.accessioned2020-05-26T00:01:34Z
dc.date.available2020-05-26T00:01:34Z
dc.date.created2016spa
dc.description.abstractIntroduction Identifying risk factors and strategies for the prevention of deep venous thromboembolism in major orthopedic surgery has allowed the development of Clinical Practice Guidelines (CPGs). Currently, there is a gap between clinical practice and the implementation of the recommendations of CPGs. The purpose of this paper is to report the impact of the implementation of improvement strategies on adherence to venous thromboembolism (VTE) prophylaxis guidelines. Materials and methods We defined 3 quality indicators to assess the adequate use of thromboprophylaxis according to CPGs. We obtained a baseline measurement and identified several barriers for adherence. Six improvement strategies to promote adherence to CPGs were designed and applied. A systematic monitoring of these indicators was performed in real time and a description of the data was completed for patients undergoing primary joint replacement of the hip, knee and shoulder, during February 2012 and August 2014. Results Data from 773 patients were obtained. In the first trimester, the average of adherence was: 98.3% for medical order in the post-operative note, 60.3% for opportune administration and 67% for adherence to therapy at home. In the trimester, the rates of adherence were 100%, 95.7% and 100% respectively. Conclusions Combined strategies for improvement of adherence to VTE prophylaxis is associated with higher compliance with clinical practice guidelines. © 2015 Published by Elsevier Ltd.eng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.1016/j.thromres.2015.10.020
dc.identifier.issn493848
dc.identifier.urihttps://repository.urosario.edu.co/handle/10336/23382
dc.language.isoengspa
dc.publisherElsevier Ltdspa
dc.relation.citationEndPage118
dc.relation.citationStartPage113
dc.relation.citationTitleThrombosis Research
dc.relation.citationVolumeVol. 137
dc.relation.ispartofThrombosis Research, ISSN:493848, Vol.137,(2016); pp. 113-118spa
dc.relation.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-84951940429&doi=10.1016%2fj.thromres.2015.10.020&partnerID=40&md5=93c575a18b981fa8ecf67d4abba232d5spa
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.rights.accesoAbierto (Texto Completo)spa
dc.source.instnameinstname:Universidad del Rosariospa
dc.source.reponamereponame:Repositorio Institucional EdocURspa
dc.subject.keywordDabigatranspa
dc.subject.keywordEnoxaparinspa
dc.subject.keywordFondaparinuxspa
dc.subject.keywordRivaroxabanspa
dc.subject.keywordFibrinolytic agentspa
dc.subject.keywordLow molecular weight heparinspa
dc.subject.keywordAgedspa
dc.subject.keywordArticlespa
dc.subject.keywordFemalespa
dc.subject.keywordHip prosthesisspa
dc.subject.keywordHumanspa
dc.subject.keywordKnee prosthesisspa
dc.subject.keywordMajor clinical studyspa
dc.subject.keywordMalespa
dc.subject.keywordMeasurementspa
dc.subject.keywordMedical orderspa
dc.subject.keywordOrthopedic surgeryspa
dc.subject.keywordPatient compliancespa
dc.subject.keywordPostoperative periodspa
dc.subject.keywordPractice guidelinespa
dc.subject.keywordPriority journalspa
dc.subject.keywordProphylaxisspa
dc.subject.keywordShoulder prosthesisspa
dc.subject.keywordTotal quality managementspa
dc.subject.keywordVenous thromboembolismspa
dc.subject.keywordClinical practicespa
dc.subject.keywordColombiaspa
dc.subject.keywordOrthopedic surgeryspa
dc.subject.keywordPremedicationspa
dc.subject.keywordProtocol compliancespa
dc.subject.keywordStandardsspa
dc.subject.keywordStatistics and numerical dataspa
dc.subject.keywordTreatment outcomespa
dc.subject.keywordUtilizationspa
dc.subject.keywordVenous thromboembolismspa
dc.subject.keywordAgedspa
dc.subject.keywordColombiaspa
dc.subject.keywordFemalespa
dc.subject.keywordFibrinolytic agentsspa
dc.subject.keywordGuideline adherencespa
dc.subject.keywordHeparineng
dc.subject.keywordHumansspa
dc.subject.keywordMalespa
dc.subject.keywordOrthopedic proceduresspa
dc.subject.keywordPractice guidelines as topicspa
dc.subject.keywordPractice patternseng
dc.subject.keywordPremedicationspa
dc.subject.keywordTreatment outcomespa
dc.subject.keywordVenous thromboembolismspa
dc.subject.keywordArthroplastyspa
dc.subject.keywordGuideline adherencespa
dc.subject.keywordHealth carespa
dc.subject.keywordPrevention and controlspa
dc.subject.keywordQuality indicatorsspa
dc.subject.keywordReplacementspa
dc.subject.keywordVenous thromboembolismspa
dc.titleThromboprophylaxis after major orthopedic surgery: Improving compliance with clinical practice guidelinesspa
dc.typearticleeng
dc.type.hasVersioninfo:eu-repo/semantics/publishedVersion
dc.type.spaArtículospa
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