ArticlePlastic and reconstructive surgery2011
Changing practice: implementation of a venous thromboembolism prophylaxis protocol at an academic medical center.
Article in Plastic and reconstructive surgery, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Cancer-Associated Thrombosis: Surveying Patients' Awareness and Education Needs.JCO oncology advances · 2025Article
- STAMP: surgical thromboprophylaxis adherence management programme.BMJ open quality · 2025Article
- Associations between prior COVID-19 infection and venous thromboembolism following common plastic surgery operations.Journal of plastic, reconstructive & aesthetic surgery : JPRAS · 2024Article
- Double-Blind Randomized Clinical Trial to Examine the Pharmacokinetic and Clinical Impacts of Fixed Dose versus Weight-based Enoxaparin Prophylaxis: A Methodologic Description of the FIxed or Variable Enoxaparin (FIVE) Trial.Plastic and reconstructive surgery. Global open · 2019Article
- Facilitation roles and characteristics associated with research use by healthcare professionals: a scoping review.BMJ open · 2017Article
- The Case against Chemoprophylaxis for Venous Thromboembolism Prevention and the Rationale for SAFE Anesthesia.Plastic and reconstructive surgery. Global open · 2014Article
- Venous Thromboembolism following Elective Aesthetic Plastic Surgery: A Longitudinal Prospective Study in 1254 Patients.Plastic surgery international · 2014Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundThe Institute of Medicine has identified a "quality chasm" between existing evidence and actual clinical practice. The Venous Thromboembolism Prevention Study has shown that enoxaparin prophylaxis is a safe and effective way of preventing postoperative venous thromboembolism. This article presents a "how-to" guide for implementation of a venous thromboembolism prophylaxis protocol.
methodsThe Venous Thromboembolism Prevention Study prophylaxis protocol included provision of postoperative, prophylactic dose enoxaparin for the duration of inpatient stay. Compliance was considered at the individual patient level and defined as appropriate provision of protocol-appropriate enoxaparin prophylaxis. Multiple simultaneous interventions to improve protocol compliance were undertaken. Both physician and physician assistant "champions" were identified. Interventions included staff and surgeon educational sessions, discussion of venous thromboembolism-themed articles at journal club, and monthly e-mail reminders specific to the protocol, among others. Compliance rates over time were compared using the chi-square test.
resultsThe authors reviewed medical records from 945 consecutive admissions to the plastic surgery service who met Venous Thromboembolism Prevention Study eligibility criteria over a 30-month period. Initial education sessions significantly increased compliance over baseline (55 percent versus 10 percent; p<0.001). After formal protocol adoption, compliance increased steadily over the first 9 months and peaked by 1 year. In the absence of any direct intervention, compliance remained stable at 90 percent for the final 12 months of the study. This was significantly increased when compared with the period of time immediately following protocol adoption (90 percent versus 77 percent; p<0.001).
conclusionThis article provides readers with a practical approach for implementation of a venous thromboembolism prophylaxis protocol at their hospital.
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