From: Thromboprophylaxis prescribing among junior doctors: the impact of educational interventions
Parameter measured | (N) Number of patients included | |||
---|---|---|---|---|
Pre-pro-forma (N = 124) | Post- pro-forma (N = 77) | Post- changeover of doctors (N = 98) | Post-teaching (N = 95) | |
Indication(s) for pharmacological prophylaxis present, % (number) | y = 94.4 % (117) n = 5.6 %(7) | y = 88.3 % (68) n = 10.4 % (8) | y = 92.9 % (91) n = 6.1 % (6) | y = 93.7 % (89) n = 6.3 % (6) |
Contraindication(s) to pharmacological prophylaxis present, % (number) | y = 10.5 % (13) n = 87.9 % (109) u/n = 1.6 % (2) | y = 19.5 % (15) n = 80.5 %(62) | y = 13.3 % (13) n = 81.8 % (81) u/n = 4.9 % (4) | y = 26.3 % (25) n = 73.7 % (70) |
Documentation of risk assessment, % (number) | y = 21.8 % (27) n = 75.8 % (94) u/n = 2.4 % (3) | y = 42.9 % (33) n = 53.2 % (41) u/n = 3.9 % (3) | y = 42.9 % (42) n = 49.0 % (48) u/n = 8.1 % (8) | y = 35.8 % (34) n = 61.1 % (58) u/n = 3.1 % (3) |
Information regarding prophylaxis given to patient, % (number) | y = 46 % (57) n = 35.5 % (44) u/n = 18.5 % (23) | y = 41.6 % (32) n = 40.3 % (31) u/n = 18.2 % (14) | y = 32.7 % (32) n = 34.7 % (34) u/n = 32.7 % (32) | y = 45.3 % (43) n = 24.2 % (23) u/n = 30.5 % (29) |
Patients prescribed pharmacological prophylaxis, % (number) | y = 72.6 % (90) n = 25.8 % (32) u/n = 1.6 % (2) | y = 74 % (57) n = 23.4 % (18) u/n = 2.6 % (2) | y = 61.2 % (60) n = 35.7 % (35) u/n = 3.1 % (3) | y = 62.1 % (59) n = 36.8 % (35) u/n = 1.1 % (1) |
Patients prescribed pharmacological prophylaxis, where indication(s) present and contraindication(s) absent, % (number) | Y = 80.6 % (83) n = 18.4 % (19) u/n = 1 %(1) | y = 92.9 % (52) n = 3.6 % (2) u/n = 3.6 %(2) | y = 75.7 % (56) n = 21.6 % (16) u/n = 2.7 % (2) | y = 78.5 % (51) n = 20 % (13) u/n = 1.5 % (1) |
Patients prescribed pharmacological prophylaxis where contraindication(s) present, % (number) | y = 30.8 % (4) n = 69.2 % (9) | y = 20 % (3) n = 80 % (12) | y = 7.7 % (1) n = 92.3 % (12) | y = 32 % (8) n = 68 % (17) |
Adherence to prescribed pharmacological prophylaxis, (signed as given) % (number) | y = 94.4 % (85) n = 1.1 % (1) u/n = 4.4 % (4) | y = 94.3 % (50) n = 5.7 % (3) u/n = 7 % (4) | y = 95 % (57) n = 2.0 % (1) u/n = 3.3 % (2) | y = 98.3 % (58) n = 1.7 % (1) |
Correct dose of pharmacological prophylaxis prescribed, % (number) | y = 93.3 % (70) n = 6.7 % (5) u/n = 16.7 % (15) | y = 93 % (53) n = 7 % (4) | y = 93.3 % (56) n = 6.7 % (4) | y = 96.6 % (57) n = 3.4 % (2) |
How soon after admission pharmacological prophylaxis prescribed, % (number) | <24 h = 82.2 % (74) >24 h = 13.3 % (15) u/n = 1.1 % (1) | <24 h = 91.2 % (52) >24 h = 8.8 % (5) | <24 h = 96.7 % (58) >24 h = 3.3 % (2) | <24 h = 91.5 % (54) >24 h = 6.7 % (4) u/n = 1.7(1) |
Type of pharmacological prophylaxis prescribed, % (number) | Enoxaparin = 99.2 % (89) Unfractionated heparin = 0.8 (1) | Enoxaparin= 100 % (57) | Enoxaparin = 98.3 % (59) Unfractionated heparin = 1.7(1) | Enoxaparin = 100 % (59) |