Development of a guideline for treatment of deep and superficial venous thrombosis in the emergency department

Nancy C. Tosone, Cindy Costanzo

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


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 languageEnglish (US)
Pages (from-to)133-146
Number of pages14
JournalAdvanced Emergency Nursing Journal
Issue number2
StatePublished - Apr 1 2012

All Science Journal Classification (ASJC) codes

  • Emergency Medicine
  • Emergency


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