Awareness of the risks of developing deep vein
thrombosis (DVT) on a long haul flight has become as much a part
of overseas travel as jetlag or dehydration.
But outside of the
healthcare arena, few people are aware that the risk of developing
a DVT while in hospital is 135 times higher than in a non-hospitalised
person.
Venous thromboembolism
(VTE) includes the commonly-known DVT and pulmonary embolism.
The Alfred Hospital
is one of 40 hospitals across Australia taking part in the VTE
prevention project that aims to save lives by encouraging hospitals
to take a more systematic approach to assessing and managing at-risk
patients.
Run over the course
of a year, the program was initiated by the National Institute
of Clinical Studies following a pilot program in 2005.
Haemostasis-Thrombosis
Unit Head Associate Professor Alison Street said VTE was a major
and largely preventable cause of complications and hospital deaths
around the world.
'Evidence has shown
that, in the past, preventative treatment hasn't been given for
all patients considered to be at risk,' Associate Professor Street
said.
'This is because
there has been no formal and universal process for risk assessment
of patients upon admission until now.'
A steering group
of medical, nursing and pharmacy staff has been set up to develop
and implement a VTE prevention policy.
This will require
staff to assess all inpatients for their VTE risk and prescribe
preventative treatment if they are deemed to be at high risk of
developing a clot.
Treatment often includes
nursing staff fitting graduated compression stockings.
Clinical pharmacists
will be able to confirm that the risk assessment has been completed
and medication prescribed.
Implementation
of the risk assessment form and practice audit is being introduced
in selected medical and surgical wards at the Alfred and Sandringham
hospitals.
Results of these
activities will be reviewed with subsequent 'roll-out' to other
areas.