Journal article
Transition of care for patients with venous thromboembolism: Rationale, design and implementation of a quality intervention project conducted at American Thrombosis and Hemostasis Network (ATHN) affiliated sites
Thrombosis research, Vol.163, pp.146-152
03/2018
DOI: 10.1016/j.thromres.2018.01.043
PMID: 29407627
Abstract
Medication errors frequently occur during transition from the inpatient to outpatient setting. Anticoagulants are associated with serious medical errors, including major bleeding. Standardized transition of care (TOC) techniques in patients with venous thromboembolism (VTE) have not been developed.
This ongoing project conducted by the American Thrombosis and Hemostasis Network (ATHN) aims to improve TOC for newly diagnosed VTE patients on anticoagulation from the inpatient to outpatient setting, and identify characteristics of patients on direct oral anticoagulants (DOACs) and their TOC. There are two main phases, a Pre-Intervention and a Quality Intervention Phase. For both phases data are collected regarding patient demographics, VTE characteristics, and patients' knowledge and feedback regarding their VTE and anticoagulant discharge instructions. In addition, for the Quality Intervention Phase, a standardized comprehensive discharge instruction module specific for each anticoagulant is administered followed by a one-week phone call.
Sixteen ATHN-affiliated sites are participating. There are 218 patients enrolled in the Pre-Intervention Phase. The majority are adults (58.5%), women (52.4%) and non-Hispanic ethnicity (82.2%). The main risk factors for VTE were length of hospital stay of more than seven days and obesity in the pediatric and adult population respectively. Enoxaparin and DOACs were predominantly prescribed for the pediatric and adult population respectively.
This TOC quality intervention initiative for newly diagnosed patients with VTE aims to demonstrate that implementation of a standardized TOC model is feasible and can improve patient knowledge, satisfaction, compliance, reduce anticoagulant complications and hospital readmissions in both the pediatric and adult populations.
•Transition of care (TOC) for patients on anticoagulant medications needs improvement.•A multicenter project was developed to improve TOC with standardized education.•Project design and preliminary data are described from 16 participating centers.
Details
- Title: Subtitle
- Transition of care for patients with venous thromboembolism: Rationale, design and implementation of a quality intervention project conducted at American Thrombosis and Hemostasis Network (ATHN) affiliated sites
- Creators
- Julie Jaffray - Children's Hospital Los Angeles, University of Southern California, Keck School of Medicine, 4650 Sunset Blvd., Los Angeles, CA 90027, USAMadhvi Rajpurkar - Wayne State University, Children's Hospital of Michigan, Detroit, MI 48201, USAAnjali Sharathkumar - Carver School of Medicine, University of Iowa, 375 Newton Rd, Iowa City, IA 52242, USAKavita Patel - Aflac Cancer and Blood Disorders Center of Children's Healthcare of Atlanta, Emory University, 1405 Clifton Rd., Atlanta, GA 30342, USAJames Munn - Michigan Medicine, 1500 E Med Ctr Dr, Ann Arbor, MI 48109-5235, USADunlei Cheng - American Thrombosis and Hemostasis Network, Rochester, NY, USAEllen McCarthy - American Thrombosis and Hemostasis Network, Rochester, NY, USAMaria DeSancho - Weill Cornell University, New York Presbyterian Hospital, 525 E 68th St., New York, NY 10065, USA
- Resource Type
- Journal article
- Publication Details
- Thrombosis research, Vol.163, pp.146-152
- DOI
- 10.1016/j.thromres.2018.01.043
- PMID
- 29407627
- NLM abbreviation
- Thromb Res
- ISSN
- 0049-3848
- eISSN
- 1879-2472
- Publisher
- Elsevier Ltd
- Grant note
- DOI: 10.13039/100004319, name: Pfizer; DOI: 10.13039/100002491, name: Bristol-Myers Squibb, award: 20694075
- Language
- English
- Date published
- 03/2018
- Academic Unit
- Stead Family Department of Pediatrics; Hematology/Oncology
- Record Identifier
- 9984093230602771
Metrics
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