Evidence map›Paper›PMID 40550707›Full record

ArticleBMJ open quality2025

Enhancing venous thromboembolism prophylaxis compliance: a quality initiative for standardised risk assessment in a hospital setting.

Emad Naji Isaid, Anwar I Joudeh, Nijab Shereef, El Hareth Sirjuddin, Naseera Aboubaker, Eiman Abdelfattah-Arafa, Rehab Mohammad, Hemalatha Charles, Joseph Macalimbon, Wissam Ghadban

Abstract read
In one paragraph

Article in BMJ open quality, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Emad Naji IsaidGeneral Medicine, Alkhor hospital, Hamad Medical Corporation, Doha, Qatar.
Anwar I JoudehInternal Medicine Department AlKhor hospital, Hamad Medical Corporation, Doha, Qatar Anwarjoudeh@gmail.com.ORCID 0000-0001-8323-1303
Nijab ShereefNursing Quality Department, Alkhor Hospital, Hamad Medical Corporation, Doha, Qatar.
El Hareth SirjuddinDepartment of Pharmacy, Alkhor Hospital, Hamad Medical Corporation, Doha, Qatar.
Naseera AboubakerObstetrics and Gynecology Department, Hamad Medical Corporation, Doha, Qatar.
Eiman Abdelfattah-ArafaDepartment of Pharmacy, Hamad Medical Corporation, Doha, Qatar.
Rehab MohammadNursing Department, Alkhor Hospital, Hamad Medical Corporation, Doha, Qatar.
Hemalatha CharlesNursing Department, Hamad Medical Corporation, Doha, Qatar.
Joseph MacalimbonGeneral Medicine, Alkhor Hospital, Hamad Medical Corporation, Doha, Qatar.
Wissam GhadbanInternal Medicine, Alkhor Hospital, Hamad Medical Corporation, Doha, Qatar.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Venous thromboembolism (VTE), encompassing deep vein thrombosis and pulmonary embolism, poses a significant threat to hospitalised patients, affecting morbidity, mortality and healthcare costs. Despite the availability of effective prophylaxis, adherence rates remain inconsistent. At AlKhor Hospital in Qatar, only 40% of moderate-risk to high-risk patients initially received appropriate VTE prophylaxis within 24 hours of admission due to limited use of assessment tools and inconsistent documentation. To address this, a multidisciplinary team, including physicians, nurses, pharmacists and quality improvement officers, applied a quality improvement framework with multiple Plan-Do-Study-Act cycles to implement a standardised VTE risk assessment tool. Compliance rates for risk assessment completion and prophylaxis administration were monitored monthly, with hospital-acquired VTE and prophylaxis-related bleeding as balance measures. A comprehensive VTE risk assessment and prophylaxis form was integrated into the electronic medical records (EMR), and training sessions were conducted, supported by 'super users' in each department. The implementation resulted in an initial rise in compliance, with fluctuations following the EMR transition, ultimately stabilising and showing improved adherence across departments. Ongoing support and multidisciplinary champions were instrumental in sustaining these gains. Standardised assessment tools, EMR integration and regular training significantly enhanced compliance with VTE prophylaxis. This project underscores the value of structured, team-based approaches in preventing hospital-acquired VTE, providing a model for similar healthcare settings.

Indexed as

Guideline AdherenceVenous ThromboembolismFemaleHospitalsHumansMaleQatarQuality ImprovementRisk AssessmentClinical practice guidelinesComplianceHospital medicineVenous Thromboembolism

Identifiers

PMID40550707
PMCPMC12186033

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.