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 journalArticle

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 languageEnglish
Pages (from-to)133-146
Number of pages14
JournalAdvanced Emergency Nursing Journal
Volume34
Issue number2
DOIs
StatePublished - Apr 2012

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Venous Thrombosis
Hospital Emergency Service
Guidelines
Ambulatory Monitoring
Physiologic Monitoring
Patient Education
Therapeutics
Medical Records
Communication
Exercise
Costs and Cost Analysis

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 journalArticle

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