Abstract
Patients with DVT, aged 45.64 years, often present to the ED, with an annual cost of $1.5-$3.2 billion per year. This paper describes the process used to implement an evidence-based guideline on deep venous thrombosis (DVT) for the emergency department (ED). Specific aims were to (a) conduct an organizational assessment of DVT treatment practices; (b) compare organizational results with evidence-based treatment guidelines; (c) develop recommendations for the treatment of DVT for ED discharge; and (d) conduct an interdisciplinary evaluation of the evidence-based guideline. A retrospective review of 149 records of adults in an urban Midwestern ED in 2010 was undertaken. Differences in provider practices were identified. A guideline was developed that included clinical management, social/financial concerns, patient education, anticoagulation monitoring, and outpatient follow-up. Implementation and evaluation were accomplished through electronic and paper communication, medical record monitoring, and patient call back. Evaluation also included simulation exercises with an interdisciplinary team.
| Original language | English |
|---|---|
| Pages (from-to) | 133-146 |
| Number of pages | 14 |
| Journal | Advanced Emergency Nursing Journal |
| Volume | 34 |
| Issue number | 2 |
| DOIs | |
| State | Published - Apr 2012 |
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All Science Journal Classification (ASJC) codes
- Emergency Medicine
- Emergency
Cite this
Development of a guideline for treatment of deep and superficial venous thrombosis in the emergency department. / Tosone, Nancy C.; Costanzo, Cindy.
In: Advanced Emergency Nursing Journal, Vol. 34, No. 2, 04.2012, p. 133-146.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Development of a guideline for treatment of deep and superficial venous thrombosis in the emergency department
AU - Tosone, Nancy C.
AU - Costanzo, Cindy
PY - 2012/4
Y1 - 2012/4
N2 - Patients with DVT, aged 45.64 years, often present to the ED, with an annual cost of $1.5-$3.2 billion per year. This paper describes the process used to implement an evidence-based guideline on deep venous thrombosis (DVT) for the emergency department (ED). Specific aims were to (a) conduct an organizational assessment of DVT treatment practices; (b) compare organizational results with evidence-based treatment guidelines; (c) develop recommendations for the treatment of DVT for ED discharge; and (d) conduct an interdisciplinary evaluation of the evidence-based guideline. A retrospective review of 149 records of adults in an urban Midwestern ED in 2010 was undertaken. Differences in provider practices were identified. A guideline was developed that included clinical management, social/financial concerns, patient education, anticoagulation monitoring, and outpatient follow-up. Implementation and evaluation were accomplished through electronic and paper communication, medical record monitoring, and patient call back. Evaluation also included simulation exercises with an interdisciplinary team.
AB - Patients with DVT, aged 45.64 years, often present to the ED, with an annual cost of $1.5-$3.2 billion per year. This paper describes the process used to implement an evidence-based guideline on deep venous thrombosis (DVT) for the emergency department (ED). Specific aims were to (a) conduct an organizational assessment of DVT treatment practices; (b) compare organizational results with evidence-based treatment guidelines; (c) develop recommendations for the treatment of DVT for ED discharge; and (d) conduct an interdisciplinary evaluation of the evidence-based guideline. A retrospective review of 149 records of adults in an urban Midwestern ED in 2010 was undertaken. Differences in provider practices were identified. A guideline was developed that included clinical management, social/financial concerns, patient education, anticoagulation monitoring, and outpatient follow-up. Implementation and evaluation were accomplished through electronic and paper communication, medical record monitoring, and patient call back. Evaluation also included simulation exercises with an interdisciplinary team.
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U2 - 10.1097/TME.0b013e318253f72c
DO - 10.1097/TME.0b013e318253f72c
M3 - Article
C2 - 22561224
AN - SCOPUS:84861144062
VL - 34
SP - 133
EP - 146
JO - Advanced Emergency Nursing Journal
JF - Advanced Emergency Nursing Journal
SN - 1931-4485
IS - 2
ER -