In this section :
- Hospital harm is everyone鈥檚 concern
-
Hospital Harm Improvement Resource
- How to Use the Hospital Harm Measure for Improvement
- Learning from Harm
- General Patient Safety Quality Improvement and Measurement Resources
- Hypoglycemia: Introduction
- Aspiration Pneumonia: Introduction
- Delirium: Introduction
-
Infusion, Transfusion and Injection Complications: Introduction
- Infusion, Transfusion and Injection Complications: Discharge Abstract Database
- Infusion, Transfusion and Injection Complications: Importance to Patients and Families
- Infusion, Transfusion and Injection Complications: Clinical and System Reviews, Incident Analyses
- Infusion, Transfusion and Injection Complications: Measures
- Infusion, Transfusion and Injection Complications: Success Stories
- Infusion, Transfusion and Injection Complications: References
- Medication Incidents: Introduction
- Obstetric Hemorrhage: Introduction
- Patient Trauma: Introduction
- Pneumonia: Introduction
- Pneumothorax: Introduction
-
Post Procedural Infections: Introduction
- Post Procedural Infections: Discharge Abstract Database
- Post Procedural Infections: Importance to Patients and Families
- Post Procedural Infections: Clinical and Systems Reviews, Incident Analyses
- Post Procedural Infections: Measures
- Post Procedural Infections: Success Stories
- Post Procedural Infections: References
- Pressure Ulcer: Introduction
- Sepsis: Introduction
- UTI: Introduction
-
Venous Thromboembolism: Introduction
- VTE: Discharge Abstract Database
- VTE: Importance to Patients and Families
- VTE: Clinical and System Reviews, Incident Analyses
- VTE: Measures
- VTE: Prevention Success Stories
- VTE: References
- Wound Disruption: Introduction
- Obstetric Trauma: Introduction
-
Procedure-Associated Shock: Introduction
- Procedure-Associated Shock: Discharge Abstract Database
- Procedure-Associated Shock: Importance to Patients and Families
- Procedure-Associated Shock: Clinical and System Review, Incident Analysis
- Procedure-Associated Shock: Measures
- Procedure-Associated Shock: Success Stories
- Procedure-Associated Shock: References
- Selected Serious Events: Introduction
-
Electrolyte and Fluid Imbalance: Introduction
- Electrolyte and Fluid Imbalance: Discharge Abstract Database
- Electrolyte and Fluid Imbalance: Importance to Patients and Families
- Electrolyte and Fluid Imbalance: Clinical and System Reviews, Incident Analyses
- Electrolyte and Fluid Imbalance: Measures
- Electrolyte and Fluid Imbalance: Success Stories
- Electrolyte and Fluid Imbalance: References
-
Anemia 鈥� Hemorrhage (Health Care / Medication Associated Condition): Introduction
- Anemia 鈥� Hemorrhage (Health Care / Medication Associated Condition): Discharge Abstract Database
- Anemia 鈥� Hemorrhage (Health Care / Medication Associated Condition): Importance to Patients and Families
- Anemia 鈥� Hemorrhage (Health Care / Medication Associated Condition): Clinical and System Reviews, Incident Analyses
- Anemia 鈥� Hemorrhage (Health Care / Medication Associated Condition): Measures
- Anemia 鈥� Hemorrhage (Health Care / Medication Associated Condition): Success Stories
- Anemia 鈥� Hemorrhage (Health Care / Medication Associated Condition): References
-
Anemia 鈥� Hemorrhage (Procedure-Associated Conditions): Introduction
- Anemia 鈥� Hemorrhage (Procedure-Associated Conditions): Discharge Abstract Database
- Anemia 鈥� Hemorrhage (Procedure-Associated Conditions): Importance to Patients and Families
- Anemia 鈥� Hemorrhage (Procedure-Associated Conditions): Clinical and System Reviews, Incident Analyses
- Anemia 鈥� Hemorrhage (Procedure-Associated Conditions): Measures
- Anemia 鈥� Hemorrhage (Procedure-Associated Conditions): Success Stories
- Anemia 鈥� Hemorrhage (Procedure-Associated Conditions): References
- Birth Trauma: Introduction
- Device Failure: Introduction
-
Infections due to Clostridium difficile, MRSA or VRE: Introduction
- Infections due to Clostridium difficile, MRSA or VRE: Discharge Abstract Database
- Infections due to Clostridium difficile, MRSA or VRE: Importance to Patients and Families
- Infections due to Clostridium difficile, MRSA or VRE: Surveillance, Outbreak Management
- Infections due to Clostridium difficile, MRSA or VRE: Clinical and System Reviews, Incident Analyses
- Infections due to Clostridium difficile, MRSA or VRE: Measures
- Infections due to Clostridium difficile, MRSA or VRE: Success Stories
- Infections due to Clostridium difficile, MRSA or VRE: References
- Laceration: Introduction
- Retained Foreign Body: Introduction
-
Viral Gastroenteritis: Introduction
- Viral Gastroenteritis: Discharge Abstract Database
- Viral Gastroenteritis: Importance to Patients and Families
- Viral Gastroenteritis: Surveillance, Outbreak Management
- Viral Gastroenteritis: Clinical and System Reviews, Incident Analyses
- Viral Gastroenteritis: Measures
- Viral Gastroenteritis: Success Stories
- Viral Gastroenteritis: References
VTE: Clinical and System Reviews, Incident Analyses
Given the broad range of potential causes of hospital associated VTE, clinical and system reviews should be conducted to identify latent causes and determine appropriate recommendations.
Occurrences of harm are complex with many contributing factors. Organizations need to:
- Measure and monitor the types and frequency of these occurrences.
- Use appropriate analytical methods to understand the contributing factors.
- Identify and implement solutions or interventions that are designed to prevent recurrence and reduce risk of harm.
- Have mechanisms in place to mitigate consequences of harm when it occurs.
To develop a more in-depth understanding of the care delivered to patients, chart audits, incident analyses and prospective analyses can be helpful in identifying quality improvement opportunities. Links to key resources for听conducting chart audits听补苍诲听analysis methods听are included in the听Hospital Harm Improvement Resources Introduction.听听
If your review reveals that your cases of VTE are linked to specific processes or procedures, you may find these resources helpful:
- American Society of Clinical Oncology听
- Venous Thromboembolism Prophylaxis and Treatment in Patients with Cancer Update听
- American Society of Hematology听
- 2019 Guidelines for management of venous thromboembolism: prevention of venous thromboembolism in surgical hospitalized patients听
- 2018 Guidelines for management of venous thromboembolism: prophylaxis for hospitalized and nonhospitalized medical patients (Sch眉nemann)听\
- 2018 guidelines for management of venous thromboembolism: venous thromboembolism in the context of pregnancy (Bates)听
- CHEST 鈥� American College of Chest Physicians听
- Antithrombotic Therapy and Prevention of Thrombosis (9th听Edition), Published: February 2012 Prevention of VTE in Nonsurgical Patients听
- Prevention of VTE in Nonsurgical Patients听
- Prevention of VTE in Nonorthopedic Surgical Patients听
- Prevention of VTE in Orthopedic Surgery Patients听
- Prevention, Diagnosis, and Treatment of VTE in Patients with Coronavirus Disease 2019听
- Antithrombotic Therapy and Prevention of Thrombosis (9th听Edition), Published: February 2012 Prevention of VTE in Nonsurgical Patients听
- International Society on Thrombosis and Haemostasis
- Full list of听
- Spyropoulos, A.C., Levy, J.H., Ageno, W., Connors, J.M., Hunt, B.J., Iba, T., Levi, M., Samama, C.M., Thachil, J., Giannis, D., Douketis, J.D. and (2020), Scientific and Standardization Committee Communication: Clinical Guidance on the Diagnosis, Prevention and Treatment of Venous Thromboembolism in Hospitalized Patients with COVID鈥�19.听
- Journal of Clinical Medicine听
- Nicholson M, Chan N, Bhagirath V, Ginsberg, J. Prevention of Venous Thromboembolism in 2020 and Beyond. J. Clin. Med. 2020, 9, 2467-2494.
- Plos One听
- A systematic review of clinical practice guidelines on the use of low molecular weight heparin and fondaparinux for the treatment and prevention of venous thromboembolism: Implications for research and policy decision-making -听
- Society of Obstetricians and Gynaecologists of Canada听
- Clinical Practice Guidelines: Venous thromboembolism and antithrombotic therapy in pregnancy. J Obstet Gynaecol Can. 2014; 36 (6): 527鈥�553.听
- Stop the Clot.听
- The Lancet Oncology听
- 2019 international clinical practice guidelines for the treatment and prophylaxis of venous thromboembolism in patients with cancer听
- Thrombosis Canada.
- World Thrombosis Day.
Venous Thromboembolism
