McFarland L, Murray E, Harrison S, Heneghan C, Ward A, Fitzmaurice D, Greenfield S
Primary Care Clinical Sciences, School of Health and Population Sciences, University of Birmingham, Birmingham, UK.
Department of Primary Health Care, University of Oxford, Oxford, UK.
BMJ Open. 2014 Jun 17;4(6):e005074. doi: 10.1136/bmjopen-2014-005074.
To explore the current practice of venous thromboembolism (VTE) prevention in acute trusts.
A qualitative research design was used to explore the perceived current practice of thromboprophylaxis, and knowledge and experience of VTE prevention. Data were collected via interviews with personnel from acute trusts and other relevant organisations and charities. Constant comparison was used to generate themes grounded in the data.
The UK.
17 participants, sampled due to their expertise and knowledge in the field of VTE, were interviewed for the study.
No one felt directly responsible for VTE risk assessment and treatment in acute trusts. There were concerns whether any action takes place based on the risk assessment. Low levels of VTE knowledge existed throughout the system.
Our study highlights the importance of continuous training to prevent VTE risk assessment being considered a tick box exercise and for clinicians to understand the significance of the procedure to ensure that VTE preventative measures are administered. It is essential that acute trust staff acknowledge that VTE prevention is the responsibility of everyone involved in a patient's care. Concerns remain around prophylaxis treatment, administration and contraindications.
探讨急性医疗机构中静脉血栓栓塞症（VTE）预防的当前实践情况。
采用定性研究设计，以探究血栓预防的当前实践认知以及VTE预防的知识和经验。通过对急性医疗机构及其他相关组织和慈善机构的人员进行访谈来收集数据。运用持续比较法生成基于数据的主题。
英国。
17名参与者因在VTE领域的专业知识和经验而被抽样纳入本研究并接受访谈。
在急性医疗机构中，没有人觉得自己对VTE风险评估和治疗负有直接责任。人们担心基于风险评估是否会采取任何行动。整个系统中VTE知识水平较低。
我们的研究强调了持续培训的重要性，以防止将VTE风险评估视为一种走过场的行为，并让临床医生理解该程序的重要性，以确保实施VTE预防措施。急性医疗机构工作人员必须认识到，VTE预防是参与患者护理的每个人的责任。围绕预防治疗、用药及禁忌仍存在担忧。
