This implementation toolkit is built on well-proven principles of quality improvement, evidence-based medicine as well as personal and institutional experiences. An in depth look at previous or ongoing efforts and resources followed by a redesign in process, work flow, and information transfer and sharing is needed in order to implement an effective team-based approach to prevent hospital-acquired venous thromboembolism (VTE).
This implementation toolkit will enable you to implement effective protocols by providing you with information on:
The Venous Thromboembolism (VTE) Implementation Toolkit is the online version of the Venous Thromboembolism Implementation Guide and addresses in detail the essential elements for reaching breakthrough levels of improvement in the care. Review the How to Use portion of the toolkit for guidance and an introduction to the information you will find in the implementation toolkit whether you are just beginning a quality improvement (QI) initiative or have been part of on-going improvement efforts.
Download and print the VTE Implementation Guide entitled, Preventing Hospital-Acquired Venous Thromboembolism, A Guide for Effective Quality Improvement, Version 3.3, which serves as the portable version of the Venous Thromboembolism Implementation Toolkit.
Set up your team for success. Move ahead only with the support of your institution and an understanding of your environment. Know where you are going and how you will get there by setting goals and using a framework for improvement.
Review what the literature says about inpatient glycemic control. Package that knowledge into a protocol that is aligned with the scope of your project.
Diagram your current care delivery. Understand its inter-related steps and failure modes. View care delivery as a series of intermediate steps leading to the clinical endpoint of interest. Recognize which steps should become metrics for VTE prevention.
Select key metrics. Collect the data needed to track performance on these metrics. Plot and report data on a run chart. Write the aim statement that will be your benchmark for success. Consider tracking balancing measures.
Start with an effective VTE Protocol. Really integrate it. Then, raise performance incrementally by moving up a hierarchy of increasing reliability.
Learn by testing and refining change in the clinical setting. Revise the VTE Protocol to embrace appropriate variation. Take steps to weed out inappropriate variation. Spread your improvements to other units.
You will also have access to:
between care providers is an essential part of medical care that
influences patients' quality of life and effective disease treatment.
Hospitalists can act as leaders to educate both patients and providers
regarding appropriate steps to take to improve care transitions, and
reduce risks associated with these transitions.
The contributions of Dr. Maynard and his UCSD collaborators in the development of the SHM VTE Prevention Implementation Toolkit and the VTE Prevention Implementation Guide were supported by grant number 1U18HS015826-01 from the Agency for Healthcare Research and Quality (AHRQ). The contents of this product are solely the responsibility of Dr. Maynard and the SHM VTE Project Team, and do not necessarily represent the official view of or imply endorsement by AHRQ or the U.S. Department of Health and Human Services.