MANAGING THE RISK OF VENOUS THROMBOEMBOLISM IN CANCER PATIENTS THROUGH MULTI-DISCIPLINARY COLLABORATION

2.50
Hdl Handle:
http://hdl.handle.net/10755/164713
Category:
Abstract
Type:
Presentation
Title:
MANAGING THE RISK OF VENOUS THROMBOEMBOLISM IN CANCER PATIENTS THROUGH MULTI-DISCIPLINARY COLLABORATION
Author(s):
Hawkins, Victoria; Gerber, Donna L.; Falk, Jane M.; Taubert, Janet K.; Taylor, Monique E.; Stephens, Dianne L.
Author Details:
Victoria Hawkins, DRPH RN, Clinical Effectiveness Nurse Specialist, M. D. Anderson Cancer Center, Houston, Texas, USA, email: vehawkin@mdanderson.org; Donna L. Gerber, PhD, AOCN, BCLS, CNS, RN; Jane M. Falk, MS, BSN; Janet K. Taubert, MSN, BSN, ACLS, BCLS, CNS, OCN; RN; Monique E. Taylor, MSN, MBA, OCN, RN; Dianne L. Stephens, MSN, BSN, ACLS, OCN, RN
Abstract:
Mortality within six months of initial hospitalization increases three-fold for cancer patients with venous thromboembolism (VTE) when compared to patients with cancer only. VTE is preventable and treatable in many cases. However in 2005, only seven percent of patients who died from thrombotic complications in the U.S. were ever diagnosed or treated for VTE, according to a new study. Another recent trial has demonstrated that a systematic process of VTE risk assessment with physician notification results in improved prophylaxis and reduced incidence of VTE. The purpose of this project is to establish a systematic process of VTE risk assessment with physician notification that is safe, effective, and easy to use. Through an extensive literature review, VTE risk factors were identified and stratified based upon strength of the evidence. The list of factors was narrowed to those for which there was consensus, and the RN VTE Risk Assessment Tool was created. Concurrently, a multidisciplinary healthcare team developed an online physician order set for VTE prevention based on national guidelines. The RN tool and physician orders were integrated into one online document, thus creating a record for nurse to physician collaboration and reducing the need for redundant documentation. A pilot project will be conducted for one month on a medical oncology unit and a surgical oncology unit. The data to be collected at baseline and during the pilot include: (1) number and percent of new patients who received the risk assessment with physician notification; (2) types of VTE risk factors found in these patient populations; (3) physician practice patterns related to thromboprophylaxis. In addition, a survey will be conducted among participating multidisciplinary staff to assess the accessibility, convenience, and utility of the new process. It is hoped that the process can be adapted easily to other clinical settings here and at other oncology health care centers. Educating nurses regarding the prevalence of VTE in the oncology population and enabling nurses to conduct VTE risk assessment with physician notification are powerful tools in the prevention of this deadly complication.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2007
Conference Name:
32nd Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
Las Vegas, Nevada, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleMANAGING THE RISK OF VENOUS THROMBOEMBOLISM IN CANCER PATIENTS THROUGH MULTI-DISCIPLINARY COLLABORATIONen_GB
dc.contributor.authorHawkins, Victoriaen_US
dc.contributor.authorGerber, Donna L.en_US
dc.contributor.authorFalk, Jane M.en_US
dc.contributor.authorTaubert, Janet K.en_US
dc.contributor.authorTaylor, Monique E.en_US
dc.contributor.authorStephens, Dianne L.en_US
dc.author.detailsVictoria Hawkins, DRPH RN, Clinical Effectiveness Nurse Specialist, M. D. Anderson Cancer Center, Houston, Texas, USA, email: vehawkin@mdanderson.org; Donna L. Gerber, PhD, AOCN, BCLS, CNS, RN; Jane M. Falk, MS, BSN; Janet K. Taubert, MSN, BSN, ACLS, BCLS, CNS, OCN; RN; Monique E. Taylor, MSN, MBA, OCN, RN; Dianne L. Stephens, MSN, BSN, ACLS, OCN, RNen_US
dc.identifier.urihttp://hdl.handle.net/10755/164713-
dc.description.abstractMortality within six months of initial hospitalization increases three-fold for cancer patients with venous thromboembolism (VTE) when compared to patients with cancer only. VTE is preventable and treatable in many cases. However in 2005, only seven percent of patients who died from thrombotic complications in the U.S. were ever diagnosed or treated for VTE, according to a new study. Another recent trial has demonstrated that a systematic process of VTE risk assessment with physician notification results in improved prophylaxis and reduced incidence of VTE. The purpose of this project is to establish a systematic process of VTE risk assessment with physician notification that is safe, effective, and easy to use. Through an extensive literature review, VTE risk factors were identified and stratified based upon strength of the evidence. The list of factors was narrowed to those for which there was consensus, and the RN VTE Risk Assessment Tool was created. Concurrently, a multidisciplinary healthcare team developed an online physician order set for VTE prevention based on national guidelines. The RN tool and physician orders were integrated into one online document, thus creating a record for nurse to physician collaboration and reducing the need for redundant documentation. A pilot project will be conducted for one month on a medical oncology unit and a surgical oncology unit. The data to be collected at baseline and during the pilot include: (1) number and percent of new patients who received the risk assessment with physician notification; (2) types of VTE risk factors found in these patient populations; (3) physician practice patterns related to thromboprophylaxis. In addition, a survey will be conducted among participating multidisciplinary staff to assess the accessibility, convenience, and utility of the new process. It is hoped that the process can be adapted easily to other clinical settings here and at other oncology health care centers. Educating nurses regarding the prevalence of VTE in the oncology population and enabling nurses to conduct VTE risk assessment with physician notification are powerful tools in the prevention of this deadly complication.en_GB
dc.date.available2011-10-27T12:05:38Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:05:38Z-
dc.conference.date2007en_US
dc.conference.name32nd Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationLas Vegas, Nevada, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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