![]() ![]() A 1-week baseline audit of SCD compliance among patients admitted to the trauma floors in July 2020 revealed a median compliance rate of 45%. KCHC is an urban, teaching hospital in Brooklyn, New York, with an active level 1 trauma centre. Mechanical VTE prophylaxis in the form of sequential compression device (SCD) is an important intervention for reducing VTE risk in this population.įor trauma patients at Kings County Hospital Center (KCHC), SCD application is a focus of efforts to improve patient safety because the device is important for thromboprophylaxis yet compliance rates in patients are poor. In these patients, the physiologic hypercoagulable state following trauma coupled with emergent procedures and reduced ability to ambulate secondary to injuries increases risk for VTE. ![]() This is particularly true for patients suffering from trauma. Venous thromboembolism (VTE) is a potentially fatal adverse event in hospitalised patients. Our results suggest that patient education should be coupled with interventions that address other barriers to SCD compliance. Morning compliance was lower than afternoon compliance both at baseline (45% vs 48.5%) and at the end the project (45% vs 53%). After a 4-week period, we did not achieve our aim, but increased our overall compliance from 45% to 60% and sustained this improvement throughout our PDSA cycles. We measured SCD compliance during morning and afternoon patient observations and generated run charts to understand how our cycles were leading to change. We used three plan-do-study-act (PDSA) cycles to implement and refine our intervention. ![]() Our aim was to increase our SCD compliance rate by 30% in 4 weeks. We distributed an informational flyer to patients and led short educational sessions on VTE risk factors and proper SCD use. In this quality improvement project, we developed a patient education intervention to improve SCD compliance. At our institution, a baseline audit in July 2020 revealed that patients admitted to the trauma floors have poor compliance with the use of SCDs. Patient compliance with sequential compression devices (SCDs), a form of mechanical VTE prophylaxis, has been a focus of efforts to improve patient safety. For these patients, thromboprophylaxis is a standard of care. Venous thromboembolism (VTE) is the fourth most commonly reported complication in trauma patients. ![]()
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