The Use of Surgical Care Improvement Projects in Prevention of Venous Thromboembolism

Adv Exp Med Biol. 2017:906:15-22. doi: 10.1007/5584_2016_102.

Abstract

Venous thromboembolism (VTE) is a potentially mortal complication in patients undergoing surgery. Deep venous thrombosis and pulmonary embolism can be seen up to 40 % of patients who have no or inappropriate VTE prophylaxis during perioperative period.In addition to the preoperative and intraoperative preventive measures, the standardization of postoperative care and follow-up are essential to reduce VTE risk. Modern healthcare prioritizes patient's safety and aims to reduce postoperative morbidity by using standardized protocols. Use of quality improvement projects with well-organized surgical care has an important role to prevent VTE during hospital stay. Present surgical care improvement projects have provided us the opportunity to identify patients who are vulnerable to VTE. Description and introduction of the quality standards for VTE prevention in the educational materials, meetings and at the medical schools will increase the VTE awareness among the health care providers. You are going to find the characteristics of the major surgical quality improvement projects and their relations with VTE in the chapter.

Keywords: A Perioperative Surgical Safety Checklist (WHO-SSC); American College of Surgeons; Prevention of Venous Thromboembolism; The NICE (National Institute for Health and Care of Excellence) guideline; The National Surgical Quality Improvement Program (ACS-NSQIP); The Safe Surgery Saves Lives Study Group; The Surgical Care Improvement Project (SCIP); The Surgical Patient Safety System (SURPASS); World Health Organization (WHO).

Publication types

  • Review

MeSH terms

  • Anticoagulants / therapeutic use
  • Humans
  • Length of Stay / statistics & numerical data
  • Patient Safety
  • Postoperative Complications
  • Practice Guidelines as Topic
  • Primary Prevention
  • Pulmonary Embolism / etiology
  • Pulmonary Embolism / pathology
  • Pulmonary Embolism / prevention & control*
  • Quality of Health Care / organization & administration*
  • Risk Factors
  • Surgical Procedures, Operative / adverse effects
  • Venous Thromboembolism / etiology
  • Venous Thromboembolism / pathology
  • Venous Thromboembolism / prevention & control*
  • Venous Thrombosis / etiology
  • Venous Thrombosis / pathology
  • Venous Thrombosis / prevention & control*
  • World Health Organization

Substances

  • Anticoagulants