Return to CG92 Overview

Venous thromboembolism: reducing the risk: reducing the risk of venous thromboembolism (deep vein thrombosis and pulmonary embolism) in patients admitted to hospital [CG92]

Measuring the use of this guidance

Recommendation: 1.1.1

Assess all patients on admission to identify those who are at increased risk of VTE.

What was measured: Proportion of patients who were assessed on admission to identify those who are at increased risk of VTE.
Data collection end: March 2014
93%
Number that met the criteria: 39 / 42
Area covered: Local
Source: Gerakopoulos, E. (2015) Improving venous thromboembolism (VTE) prophylaxis in acute urological admissions during out of hours through the introduction of a urological admission proforma. BMJ Quality Improvement Reports, vol. 4, issue 1.

What was measured: Proportion of patients who were assessed on admission to identify those who are at increased risk of VTE.
Data collection end: September 2014
92%
Number that met the criteria: 39 / 43
Area covered: Local
Source: Gerakopoulos, E. (2015) Improving venous thromboembolism (VTE) prophylaxis in acute urological admissions during out of hours through the introduction of a urological admission proforma. BMJ Quality Improvement Reports, vol. 4, issue 1.

What was measured: Proportion of adult inpatients assessed for VTE on average, across Trusts.
Data collection end: March 2017
96%
Area covered: National
Source: All Party Parliamentary Thrombosis Group Report


Recommendation: 1.6.3

Consider offering pharmacological VTE prophylaxis to patients with lower limb plaster casts after evaluating the risks (see section 1.1) and benefits based on clinical discussion with the patient. Offer LMWH (or UFH for patients with severe renal impairment or established renal failure) until lower limb plaster cast removal. [2010]

What was measured: Percentage where a VTE risk assessment was carried out in the emergency department prior to discharge.
Data collection end: March 2016
25.9%
Area covered: UK
Source: Royal College of Emergency Medicine. VTE Risk in Lower Limb Immobilisation in Plaster Cast.

What was measured: Percentage of patients who were provided with a information leaflet on the risk of VTE, symptoms and where to seek medical help.
Data collection end: March 2016
13.3%
Area covered: UK
Source: Royal College of Emergency Medicine. VTE Risk in Lower Limb Immobilisation in Plaster Cast.


Recommendation: 1.7.2

Before starting VTE prophylaxis, offer patients and/or their families or carers verbal and written information on: the risks and possible consequences of VTE the importance of VTE prophylaxis and its possible side effects the correct use of VTE prophylaxis (for example, anti‑embolism stockings, foot impulse or intermittent pneumatic compression devices). how patients can reduce their risk of VTE (such as keeping well hydrated and, if possible, exercising and becoming more mobile). [2010]

What was measured: Proportion of Trusts that produce and disseminate their own patient information leaflets on VTE prevention.
Data collection end: March 2016
77%
Area covered: National
Source: All Party Parliamentary Thrombosis Group Report

What was measured: Proportion of trusts who produce and disseminate their own patient information leaflet on VTE prevention.
Data collection end: March 2017
86%
Area covered: National
Source: All Party Parliamentary Thrombosis Group Report

What was measured: Proportion of trusts who produce and disseminate patient information leaflets produced by an external organisation on VTE prevention.
Data collection end: March 2017
14%
Area covered: National
Source: All Party Parliamentary Thrombosis Group Report

What was measured: Proportion of trusts who report that a documented patient discussion with a healthcare professional takes place, on VTE prophylaxis.
Data collection end: March 2017
41%
Area covered: National
Source: All Party Parliamentary Thrombosis Group Report



 Return to CG92 Overview