15 research outputs found
Demographics of patient visits from December 1, 2007 through June 30, 2008.
<p>Demographics of patient visits from December 1, 2007 through June 30, 2008.</p
Percentile plot of the percent of ordered doses that were administered for each patient on the patient floor with the highest overall administration rate (black) and the patient floor with the lowest overall administration rate (orange).
<p>Percentile plot of the percent of ordered doses that were administered for each patient on the patient floor with the highest overall administration rate (black) and the patient floor with the lowest overall administration rate (orange).</p
Number of patients and the number of all ordered doses not administered, by total of ordered doses not given during the patient visit.
<p>Number of patients and the number of all ordered doses not administered, by total of ordered doses not given during the patient visit.</p
Total number of VTE prophylaxis doses ordered, not administered, and documented as not administered due to patient refusal.
*<p>p<0.0001.</p>†<p>p = 0.002.</p
Patient Preferences for Receiving Education on Venous Thromboembolism Prevention – A Survey of Stakeholder Organizations
<div><p>Importance</p><p>Venous thromboembolism (VTE) is a major cause of morbidity and mortality among hospitalized patients and is largely preventable. Strategies to decrease the burden of VTE have focused on improving clinicians’ prescribing of prophylaxis with relatively less emphasis on patient education.</p><p>Objective</p><p>To develop a patient-centered approach to education of patients and their families on VTE: including importance, risk factors, and benefit/harm of VTE prophylaxis in hospital settings.</p><p>Design, Setting and Participants</p><p>The objective of this study was to develop a patient-centered approach to education of patients and their families on VTE: including importance, risk factors, and benefit/harm of VTE prophylaxis in hospital settings. We implemented a three-phase, web-based survey (SurveyMonkey) between March 2014 and September 2014 and analyzed survey data using descriptive statistics. Four hundred twenty one members of several national stakeholder organizations and a single local patient and family advisory board were invited to participate via email. We assessed participants’ preferences for VTE education topics and methods of delivery.</p><p>Participants wanted to learn about VTE symptoms, risk factors, prevention, and complications in a context that emphasized harm. Although participants were willing to learn using a variety of methods, most preferred to receive education in the context of a doctor-patient encounter. The next most common preferences were for video and paper educational materials.</p><p>Conclusions</p><p>Patients want to learn about the harm associated with VTE through a variety of methods. Efforts to improve VTE prophylaxis and decrease preventable harm from VTE should target the entire continuum of care and a variety of stakeholders including patients and their families.</p></div
Proportion of ordered VTE prophylaxis doses not administered by floor, with floor type indicated, (M = medicine, S = surgery, N = neurology, I = ICU).
<p>Proportion of ordered VTE prophylaxis doses not administered by floor, with floor type indicated, (M = medicine, S = surgery, N = neurology, I = ICU).</p
Respondents’ preferences for receiving VTE education (methods).
<p>A bar graph showing stakeholders’ preferred methods for receiving VTE education. Respondents were asked to rank methods of receiving VTE education in order of preference. Preference categories, 1<sup>st</sup>, 2<sup>nd</sup> and 3<sup>rd</sup> were assigned weights of 3, 2 and 1 respectively and a category that is not ranked was assigned a weight of 0. Borda Counts were derived as the sum of weights allocated to the respective preference ranks by participants.</p
Preferred route of administration of Pharmacologic VTE prophylaxis.
<p>Preferred route of administration of Pharmacologic VTE prophylaxis.</p
Respondents’ preferences for the length of educational material (video).
<p>A pie chart showing stakeholders’ preferences in regards to the length of educational material (video). Patients were asked whether or not they would be willing to watch a video that is 5, 10, 15 or 20 minutes long.</p
Effectiveness of two distinct web-based education tools for bedside nurses on medication administration practice for venous thromboembolism prevention: A randomized clinical trial
<div><p>Background</p><p>Venous thromboembolism (VTE) is a common cause of preventable harm in hospitalized patients. While numerous successful interventions have been implemented to improve prescription of VTE prophylaxis, a substantial proportion of doses of prescribed preventive medications are not administered to hospitalized patients. The purpose of this trial was to evaluate the effectiveness of nurse education on medication administration practice.</p><p>Methods</p><p>This was a double-blinded, cluster randomized trial in 21 medical or surgical floors of 933 nurses at The Johns Hopkins Hospital, an academic medical center, from April 1, 2014 –March 31, 2015. Nurses were cluster-randomized by hospital floor to receive either a linear static education (Static) module with voiceover or an interactive learner-centric dynamic scenario-based education (Dynamic) module. The primary and secondary outcomes were non-administration of prescribed VTE prophylaxis medication and nurse-reported satisfaction with education modules, respectively.</p><p>Results</p><p>Overall, non-administration improved significantly following education (12.4% vs. 11.1%, conditional OR: 0.87, 95% CI: 0.80–0.95, p = 0.002) achieving our primary objective. The reduction in non-administration was greater for those randomized to the Dynamic arm (10.8% vs. 9.2%, conditional OR: 0.83, 95% CI: 0.72–0.95) versus the Static arm (14.5% vs. 13.5%, conditional OR: 0.92, 95% CI: 0.81–1.03), although the difference between arms was not statistically significant (p = 0.26). Satisfaction scores were significantly higher (p<0.05) for all survey items for nurses in the Dynamic arm.</p><p>Conclusions</p><p>Education for nurses significantly improves medication administration practice. Dynamic learner-centered education is more effective at engaging nurses. These findings suggest that education should be tailored to the learner.</p><p>Trial registration</p><p>ClinicalTrials.gov <a href="https://clinicaltrials.gov/ct2/show/NCT02301793" target="_blank">NCT02301793</a></p></div