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This Guideline was developed by the National Health and Medical Research Council's National Institute of Clinical Studies in collaboration with a 16 member multidisciplinary committee of experts. This Guideline provides evidence-based recommendations for the prevention of venous thromboembolism (blood clots), in adult surgical and medical patients and pregnant women admitted to Australian metropolitan, regional and rural hospitals.
Improving the prevention of venous thromboembolism (VTE) in hospitalised patients is a national safety and quality priority for both the National Health and Medical Research Council (NHMRC) and Australian Commission on Safety and Quality in Health Care. This guide aims to help health professionals improve the assessment and management of VTE risk in hospitalised patients. It has been designed for use by quality and safety managers, risk managers and clinicians in a variety of hospital settings. The guide draws on what is currently known about effective ways of implementing guidelines, particularly VTE prevention guidelines, as well as lessons learned from teams participating in the NHMRC's VTE prevention programs. It sets out the key issues that clinicians and managers need to address to integrate systematically best practice guideline recommendations into routine hospital care processes. It includes helpful tips and references for other tools and sources of information.
'Venous thromboembolism (VTE) is the umbrella term covering deep vein thrombosis, pulmonary embolism and a group of associated chronic conditions. This vascular disease process is a common, yet serious adverse complication of hospitalisation that results in significant mortality, morbidity, and healthcare resource expenditure. VTE in hospitalised patients is preventable and there is a robust evidence base supporting the use of prophylactic therapies for at-risk patients. Unfortunately, despite the evidence, research and clinical audit reveal that these therapies are frequently underutilised or inconsistently applied. The substantial VTE prevention evidence-practice gap has been identified internationally as a priority patient safety issue. Implementation science is a relatively new field of research focused on closing evidence-practice gaps by translating research findings into routine clinical practice. This PhD thesis contains five publications from a linked series of four implementation science studies aimed at improving the uptake of research evidence on VTE prevention in hospitalised patients. The studies were conducted at St Vincent&‟s Private Hospital, a 270 bed acute care facility in Sydney, Australia.' - (Abstract)
This practical volume highlights traditional, novel, and evolving aspects of the diagnosis and treatment of pulmonary embolism (PE). The contributors comprise an international team of experts. Important aspects of diagnosis, risk stratification, and differential treatment of patients with PE are presented in a concise, yet comprehensive manner. Emphasis is placed on specific issues related to PE, including pregnancy, cancer, thrombophilia, and air travel.
These guidelines provide recommendations that outline the critical aspects of infection prevention and control. The recommendations were developed using the best available evidence and consensus methods by the Infection Control Steering Committee. They have been prioritised as key areas to prevent and control infection in a healthcare facility. It is recognised that the level of risk may differ according to the different types of facility and therefore some recommendations should be justified by risk assessment. When implementing these recommendations all healthcare facilities need to consider the risk of transmission of infection and implement according to their specific setting and circumstances.