Venous Thromboembolism Prevention - CEC Program

Venous Thromboembolism (VTE) Prevention Program

Lillian George +

Project Officer, Medication Safety and Quality CLINICAL EXCELLENCE COMMISSION

Venous Thromboembolism (VTE)

? 14,000 cases ? 5,000 deaths ? > deaths than bowel Ca

and breast Ca

? Incidence 100 times greater in hospitalised patients than community residents

? 7% of hospital deaths ? Largely preventable

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What's the Harm?

? 71 year old male ? C/O: L hip pain ? Hx: recent L THR

? Underwent closed reduction

? L knee Zimmer splint ? Difficultly mobilising

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What's the Harm?

? 10 days post-op: noticed nil VTE prophylaxis ? Prophylaxis prescribed ? Physio ? Collapse and LOC MET ? Cardiac arrest deceased

? Coroner's report: PE at time of death

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What's the Harm?

? Admitted for UTI and cellulitis ? Immobile during admission

? 9 days post-discharge re-presents ? Swelling, erythema to L lower leg ? Doppler: Extensive occlusive L leg DVT ? 5 day admission: IV heparin and commenced

on warfarin

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