ArticleBMJ open quality2025
STAMP: surgical thromboprophylaxis adherence management programme.
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 3 papers.
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Who cites it
3 citing papers in PubMed.
- Improving adherence to venous thromboembolism prophylaxis guidelines in surgical inpatients: a closed-loop clinical audit in a resource-limited setting.Annals of medicine and surgery (2012) · 2026Article
- The Caprini score for venous thromboembolism risk assessment: A scoping review of applications, validation, and future directions.Journal of vascular surgery. Venous and lymphatic disorders · 2026Article
- Effect of perioperative intervention based on the theory of planned behavior on preventing deep vein thrombosis after laparoscopic cholecystectomy: a retrospective study.Frontiers in surgery · 2026Article
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionVenous thromboembolism is the main cause of preventable in-hospital morbidity and mortality. Despite the recommendations available in the clinical practice guideline, there is low adherence to correct thromboprophylaxis. The implementation of strategies in other countries has had a significant effect on this shortcoming. The objective of the current study was to develop and apply a multifaceted strategy to improve adherence to the institutional protocol of thromboprophylaxis in surgical patients in a university hospital.
methodsThis was a quasi-experimental before-and-after study. Adequate adherence to the institutional thromboprophylaxis guide for surgical patients was evaluated by performing an initial measurement, then a multifaceted intervention and, finally, a second measurement. The information was collected from electronic medical records. The study population was a multidisciplinary healthcare team. χ
resultsIn total, 192 medical records were included for the two measurements. The strategy comprised the following: inclusion of the Caprini scale in the electronic system, creation and dissemination of the institutional thromboprophylaxis booklet, conducting information sessions, creating an online course and creating an alert for high-risk and very high-risk thromboembolic patients. The implementation of the strategy significantly increased adequate adherence to the institutional thromboprophylaxis guide according to the thromboembolic risk of the patient calculated by the Caprini scale (40.2% vs 62.7%, p 0.003).
conclusionThe use of a multifaceted strategy to improve adherence to thromboprophylaxis in surgical patients should be considered locally and internationally.
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