Using Human Factors Science to Improve Quality and Safety of Healthcare
Introduction The venous thromboembolism (VTE) risk screening forms were developed to allow for recording identified risk factors for VTE including thrombophilia, history of VTE, postpartum hemorrhage, and cesarean delivery, and documentation of specific actions taken to mitigate these risks and redu...
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| Format: | Article |
| Language: | English |
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Innovative Healthcare Institute
2025-05-01
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| Series: | Global Journal on Quality and Safety in Healthcare |
| Online Access: | https://theijpt.org/doi/pdf/10.36401/JQSH-24-X8 |
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| author | Paul Bowie Alia Al Baharnah Rabab Alkutbe Muhammad Mohsin Abid Abdullah Almelaifi Muhammad Hasan Abid |
| author_facet | Paul Bowie Alia Al Baharnah Rabab Alkutbe Muhammad Mohsin Abid Abdullah Almelaifi Muhammad Hasan Abid |
| author_sort | Paul Bowie |
| collection | DOAJ |
| description | Introduction
The venous thromboembolism (VTE) risk screening forms were developed to allow for recording identified risk factors for VTE including thrombophilia, history of VTE, postpartum hemorrhage, and cesarean delivery, and documentation of specific actions taken to mitigate these risks and reduce complications due to VTE.
Methods
Compliance with hospital guidelines in assessing VTE risk and appropriate prescribing of thromboprophylaxis was evaluated prior to the introduction of VTE risk screening forms (March 2022). Efficacy of the new VTE risk screening forms was also assessed (April 2023). Patient discharge summaries and patient medical records including medication charts were used to review the documentation of VTE risk assessments and details of thromboprophylaxis prescribing.
Results
Of 74 postnatal patients, 37.8% had VTE risk assessment documented prior to the introduction of VTE risk screening forms. Of 37 patients identified to be at moderate to high risk of VTE requiring pharmacological prophylaxis, 70.3% (n = 26) were appropriately prescribed pharmacological prophylaxis. After the risk screening forms were introduced, a total of 67 antenatal, postnatal, and gynecologic patients were studied. Of these, 32.8% (n = 22) of patients had all required fields completed appropriately. When using the forms, 26.9% (n = 7) of postnatal and 88% (n = 22) of gynecological patients were rated as medium or high risk, and all received medical review within 24 hours. Pharmacological prophylaxis was indicated in 88% (n = 22) of gynecological, 43.8% (n = 7) of antenatal, and 38.5% (n = 10) of postnatal patients, and all were appropriately prescribed.
Conclusion
The guideline review and introduction of VTE risk screening forms was valuable to provide guidance in the risk assessment for VTE and to identify patients requiring prophylaxis. |
| format | Article |
| id | doaj-art-dca784f396e54e3ba29c0ff1dbaa1319 |
| institution | OA Journals |
| issn | 2589-9449 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Innovative Healthcare Institute |
| record_format | Article |
| series | Global Journal on Quality and Safety in Healthcare |
| spelling | doaj-art-dca784f396e54e3ba29c0ff1dbaa13192025-08-20T01:50:31ZengInnovative Healthcare InstituteGlobal Journal on Quality and Safety in Healthcare2589-94492025-05-0182939610.36401/JQSH-24-X8i2589-9449-8-2-93Using Human Factors Science to Improve Quality and Safety of HealthcarePaul Bowie0Alia Al Baharnah1Rabab Alkutbe2Muhammad Mohsin Abid3Abdullah Almelaifi4Muhammad Hasan Abid5https://orcid.org/0000-0002-6264-873X1 School of Health, Education, Policing and Sciences, Staffordshire University, Stafford, UK3 Directorate of Technical Affairs, Saudi Patient Safety Center, Riyadh, Saudi Arabia4 Research and Innovation Department, Saudi Patient Safety Center, Riyadh, Saudi Arabia5 Department of Internal Medicine, Greater Baltimore Medical Center, Baltimore, MD, USA6 College of Medicine, King Faisal University, Al Hofuf, Saudi Arabia7 Department of Continuous Quality Improvement and Patient Safety, Division of Regional Patient Experience, Armed Forces Hospitals Taif Region, Taif, Saudi ArabiaIntroduction The venous thromboembolism (VTE) risk screening forms were developed to allow for recording identified risk factors for VTE including thrombophilia, history of VTE, postpartum hemorrhage, and cesarean delivery, and documentation of specific actions taken to mitigate these risks and reduce complications due to VTE. Methods Compliance with hospital guidelines in assessing VTE risk and appropriate prescribing of thromboprophylaxis was evaluated prior to the introduction of VTE risk screening forms (March 2022). Efficacy of the new VTE risk screening forms was also assessed (April 2023). Patient discharge summaries and patient medical records including medication charts were used to review the documentation of VTE risk assessments and details of thromboprophylaxis prescribing. Results Of 74 postnatal patients, 37.8% had VTE risk assessment documented prior to the introduction of VTE risk screening forms. Of 37 patients identified to be at moderate to high risk of VTE requiring pharmacological prophylaxis, 70.3% (n = 26) were appropriately prescribed pharmacological prophylaxis. After the risk screening forms were introduced, a total of 67 antenatal, postnatal, and gynecologic patients were studied. Of these, 32.8% (n = 22) of patients had all required fields completed appropriately. When using the forms, 26.9% (n = 7) of postnatal and 88% (n = 22) of gynecological patients were rated as medium or high risk, and all received medical review within 24 hours. Pharmacological prophylaxis was indicated in 88% (n = 22) of gynecological, 43.8% (n = 7) of antenatal, and 38.5% (n = 10) of postnatal patients, and all were appropriately prescribed. Conclusion The guideline review and introduction of VTE risk screening forms was valuable to provide guidance in the risk assessment for VTE and to identify patients requiring prophylaxis.https://theijpt.org/doi/pdf/10.36401/JQSH-24-X8 |
| spellingShingle | Paul Bowie Alia Al Baharnah Rabab Alkutbe Muhammad Mohsin Abid Abdullah Almelaifi Muhammad Hasan Abid Using Human Factors Science to Improve Quality and Safety of Healthcare Global Journal on Quality and Safety in Healthcare |
| title | Using Human Factors Science to Improve Quality and Safety of Healthcare |
| title_full | Using Human Factors Science to Improve Quality and Safety of Healthcare |
| title_fullStr | Using Human Factors Science to Improve Quality and Safety of Healthcare |
| title_full_unstemmed | Using Human Factors Science to Improve Quality and Safety of Healthcare |
| title_short | Using Human Factors Science to Improve Quality and Safety of Healthcare |
| title_sort | using human factors science to improve quality and safety of healthcare |
| url | https://theijpt.org/doi/pdf/10.36401/JQSH-24-X8 |
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