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Venous thromboembolism in adults: reducing the risk in hospital [QS3]

Measuring the use of this guidance

Statement: 1

Medical, surgical or trauma patients have their risk of VTE and bleeding assessed using a national tool as soon as possible after admission to hospital.

Quality standard measure: Proportion of medical, surgical and trauma patients who have their risk of VTE and bleeding assessed using a national tool as soon as possible after admission to hospital.
What was measured: Proportion of adult hospital admissions assessed for risk of VTE on admission.
Data collection end: March 2014
96%
Number that met the criteria: 3403863 / 3545837
Data collection end: March 2015
96%
Number that met the criteria: 3423555 / 3566055
Data collection end: March 2016
95.5%
Number that met the criteria: 3509040 / 3673143
Data collection end: March 2017
95.7%
Number that met the criteria: 3550118 / 3708198
Data collection end: March 2018
95.2%
Number that met the criteria: 3515473 / 3692479
Area covered: England
Source: VTE Risk Assessment Data Collection

Quality standard measure: Proportion of medical, surgical and trauma patients who have their risk of VTE and bleeding assessed using a national tool as soon as possible after admission to hospital.
What was measured: Proportion of adult hospital admissions assessed for risk of VTE on admission to hospital using the National VTE Risk Assessment Tool.
Data collection end: March 2019
96%
Number that met the criteria: 3687183 / 3851296
Area covered: England
Source: VTE Risk Assessment Data Collection

Quality standard measure: Proportion of medical, surgical and trauma patients who have their risk of VTE and bleeding assessed using a national tool as soon as possible after admission to hospital.
What was measured: Proportion of people aged 17 and over, who presented to an emergency department with a lower limb injury and were discharged with temporary immobilisation of the limb, who had their risk of VTE and bleeding assessed during their visit to the emergency department.
Data collection end: January 2019
45%
Area covered: UK
Source: Royal College of Emergency Medicine. VTE risk in lower limb immobilisation.

Quality standard measure: Proportion of medical, surgical and trauma patients who have their risk of VTE and bleeding assessed using a national tool as soon as possible after admission to hospital.
What was measured: Proportion of people aged 17 and over, who presented to an emergency department with a lower limb injury, were discharged with temporary immobilisation of the limb and had their risk of VTE and bleeding assessed during their visit to the emergency department, whose level of VTE risk was explicitly documented in their notes.
Data collection end: January 2019
74%
Area covered: UK
Source: Royal College of Emergency Medicine. VTE risk in lower limb immobilisation.

Quality standard measure: Proportion of medical, surgical and trauma patients who have their risk of VTE and bleeding assessed using a national tool as soon as possible after admission to hospital.
What was measured: Proportion of emergency departments which reported using an assessment tool published by a national UK body to assess the risk of VTE and bleeding in adult patients who are discharged with a new leg cast or boot.
Data collection end: January 2019
15%
Area covered: UK
Source: Royal College of Emergency Medicine. VTE risk in lower limb immobilisation.

Quality standard measure: Proportion of medical, surgical and trauma patients who have their risk of VTE and bleeding assessed using a national tool as soon as possible after admission to hospital.
What was measured: Proportion of emergency departments which reported using a locally developed assessment tool to assess the risk of VTE and bleeding in adult patients who are discharged with a new leg cast or boot.
Data collection end: January 2019
67%
Area covered: UK
Source: Royal College of Emergency Medicine. VTE risk in lower limb immobilisation.

Quality standard measure: Proportion of medical, surgical and trauma patients who have their risk of VTE and bleeding assessed using a national tool as soon as possible after admission to hospital.
What was measured: Proportion of emergency departments which reported using an assessment tool published by a professional network to assess the risk of VTE and bleeding in adult patients who are discharged with a new leg cast or boot.
Data collection end: January 2019
4%
Area covered: UK
Source: Royal College of Emergency Medicine. VTE risk in lower limb immobilisation.


Statement: 5

Patients assessed to be at risk of VTE are offered VTE prophylaxis in accordance with NICE guidance.

Quality standard measure: Proportion of patients assessed to be at increased risk of VTE who are offered VTE prophylaxis in accordance with NICE guidance.
What was measured: Trusts who have in place a written policy for VTE prevention that is in line with all seven Quality Statements.
Data collection end: March 2016
92%
Area covered: National
Source: All Party Parliamentary Thrombosis Group Report

Quality standard measure: Proportion of patients assessed to be at increased risk of VTE who are offered VTE prophylaxis in accordance with NICE guidance.
What was measured: Proportion of people aged 17 and over, who presented to an emergency department with a lower limb injury, were discharged with temporary immobilisation of the limb and for whom pharmacological thromboprophylaxis was indicated, who had this initiated in the emergency department.
Data collection end: January 2019
40%
Area covered: UK
Source: Royal College of Emergency Medicine. VTE risk in lower limb immobilisation.

Quality standard measure: Proportion of patients assessed to be at increased risk of VTE who are offered VTE prophylaxis in accordance with NICE guidance.
What was measured: Proportion of people aged 17 and over, who presented to an emergency department with a lower limb injury, were discharged with temporary immobilisation of the limb and for whom pharmacological thromboprophylaxis was indicated, who had the first dose before discharge from the emergency department.
Data collection end: January 2019
18%
Area covered: UK
Source: Royal College of Emergency Medicine. VTE risk in lower limb immobilisation.


Statement: 6

Patients/carers are offered verbal and written information on VTE prevention as part of the discharge process.

Quality standard measure: Proportion of patients/carers who receive verbal and written information on VTE prevention as part of the discharge process.
What was measured: Proportion of trusts who distribution of patient information leaflet produced by an external organisation on VTE prevention.
Data collection end: March 2018
21%
Area covered: National
Source: All Party Parliamentary Thrombosis Group Report

Quality standard measure: Proportion of patients/carers who receive verbal and written information on VTE prevention as part of the discharge process.
What was measured: Proportion of trusts who have a documented patient discussion with healthcare professional on VTE prevention.
Data collection end: March 2018
38%
Area covered: National
Source: All Party Parliamentary Thrombosis Group Report


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