Venous thromboembolic disease has been called the most preventable cause of hospital death. The literature indicated that thromboprophylaxis is underprescribed and underutilized. At Long Beach Memorial Medical Center, 220 surgical inpatients were seen 1 day postoperatively over 5 weeks. Graduated compression stockings were ordered for 69% of patients; postoperatively, 96% of these patients were actually wearing them. Pneumatic foot pumps were applied to 100% of patients for whom they were ordered. Intermittent pneumatic compression devices (IPCDs) were applied to 63.6% of patients for whom they were ordered. Of the 60 patients who had postoperative anticoagulation ordered, 71.6% were orthopedic, 20% were general/abdominal, 5% were thoracic, and 1.6% underwent vascular and urologic surgeries.
Staff on postsurgical units received inservices on deep vein thrombosis pathophysiology and prevention. A multiple-choice and open-ended posttest indicated that the primary reason for decreased use of IPCDs was patient refusal.
|Advisor:||Kumrow, David E.|
|School:||California State University, Long Beach|
|School Location:||United States -- California|
|Source:||MAI 48/02M, Masters Abstracts International|
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