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Diagnosis and management of venous thromboembolic diseases [QS29]

Measuring the use of this guidance

Statement: 2

People with suspected deep vein thrombosis have all diagnostic investigations completed within 24 hours of first clinical suspicion

Quality standard measure: The proportion of people who have all diagnostic investigations completed within 24 hours of first clinical suspicion
What was measured: Proportion of patients with suspected venous thromboembolism referred for an ultrasound scan that were scanned within 24 hours
Data collection end: December 2013
12%
Number that met the criteria: 50 / 418
Area covered: Local
Source: Benson GL (2015) Review of emergency department investigated DVT. Journal of Thrombosis and Haemostasis, Conference (var.pagings): June.


Statement: 4

People with proximal deep vein thrombosis are offered below-knee graduated compression stockings within 3 weeks of diagnosis

Quality standard measure: The proportion of people with proximal DVT who receive below-knee graduated compression stockings within 3 weeks of diagnosis
What was measured: Proportion of patients with a positive scan for thrombosis who were referred to the outpatient VTE team
Data collection end: December 2013
76%
Number that met the criteria: 67 / 88
Area covered: Local
Source: Benson GL (2015) Review of emergency department investigated DVT. Journal of Thrombosis and Haemostasis, Conference (var.pagings): June.

Quality standard measure: The proportion of people with proximal DVT who receive below-knee graduated compression stockings within 3 weeks of diagnosis
What was measured: Proportion of patients who were referred to the outpatient VTE team that received compression hosiery within 3 weeks of diagnosis
Data collection end: December 2013
100%
Number that met the criteria: 67 / 67
Area covered: Local
Source: Benson GL (2015) Review of emergency department investigated DVT. Journal of Thrombosis and Haemostasis, Conference (var.pagings): June.


Statement: 5

People with unprovoked deep vein thrombosis or pulmonary embolism who are not already known to have cancer are offered timely investigations for cancer

Quality standard measure: The proportion of people with unprovoked DVT or PE who are not already known to have cancer who receive investigations for cancer
What was measured: Proportion of patients aged over 40 with an unprovoked VTE who had an abdomino-pelvic CT scan.
Data collection end: January 2012
21.2%
Data collection end: January 2015
85%
Area covered: Local
Source: Garwood David, Renton Bryan J, and Joekes Elizabeth. (2016). Implementation of NICE recommendations on abdomino-pelvic CT, following unprovoked venous thromboembolism, in a UK teaching hospital: no additional detection of occult malignancy and high numbers of incidental findings. Acute medicine, 15(5), pp.25-9.



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