Preventing Blood Clots

Preventing Blood Clots Indicators
(click on indicator below to learn more)

These measures are new as of January 2013

Camden
average (01/14-04/14)
Brunswick average
(01/14-04/14
)
Georgia average*
(01/13-06/13)
US
average* (01/13-06/13)
Number of records reviewed for these indicators during time period 88 cases 120 cases    
Treatment to Prevent Blood Clot on day or day after hospital admission or surgery
(higher number is better)
93.2% 90.0% 79% 83%
Treatment to Prevent Blood Clot on day or day after admission to intensive care unit (ICU)
(higher number is better)
100% 89.2% 89% 91%
Patients with blood clots who got recommended treatment including using two different blood thinner medicines at the same time
(higher number is better)
100% 100% 89% 92%
Patients with blood clots who were treated with intravenous blood thinner And then checked to see if blood thinner was putting patient at increased risk of bleeding
(higher number is better)
100% 100% 99% 96%
Patients with blood clots who were discharged on blood thinner medication and received written instructions about medicine
(higher number is better)
100% 81.3% 75% 73%

* Georgia and US average percentages are delayed 6-7 months

What does this indicator mean?

Treatment to Prevent Blood Clot on day or day after hospital admission or surgery - The percentage (%) of patients receiving venous thrombosis and embolism (VTE) prevention therapies during their hospital stay. Deep vein thrombosis (DVT) is the result of a clot that forms in one of the large veins in the body - most often in the legs or pelvis. It is important to deliver preventative therapies against DVTs to patients with either medication or mechanical compression boots while they are in the hospital. Some patients have an increased risk of developing DVTs and the subsequent life-threatening complication of pulmonary embolism if the clot travels from the leg or pelvis to the lungs.

Treatment to Prevent Blood Clot on day or day after admission to intensive care unit (ICU) - The percentage (%) of patients receiving venous thrombosis and embolism (VTE) prevention therapies if they are admitted to the ICU during their hospital stay. Deep vein thrombosis (DVT) is the result of a clot that forms in one of the large veins in the body - most often in the legs or pelvis. It is important to deliver preventative therapies against DVTs to ICU patients with either medication or mechanical compression boots while they are in the hospital. Patients admitted to an ICU have an increased risk of developing DVTs and the subsequent life-threatening complication of pulmonary embolism if the clot travels from the leg or pelvis to the lungs.

Patients with blood clots who got recommended treatment including using two different blood thinner medicines at the same time- The percentage (%) of patients who had a confirmed diagnosis of blood clot at hospital and received medicines for a t least 5 days, or were discharged from the hospital on both kinds of medicine, unless their blood work showed they no longer needed it. The recommended treatment is to first give a blood thinner that can get into the bloodstream quickly through an IV or injection, then give a slower-acting oral blood thinner medicine, and continue giving both blood thinners for 5 days or until it is safe for the patient to transition off of the IV blood thinner and use only the oral blood thinner medicine.

Patients with blood clots who were treated with intravenous blood thinner and then checked to see if blood thinner was putting patient at increased risk of bleeding – The percentage (%) of patients who developed a blood clot during hospital stay, treated with unfractionated IV heparin who had their blood checked using recommended procedures. Some patients may be prescribed a type of IV heparin called unfractionated heparin. Unfractionated heparin carries a higher risk of increased bleeding than a different type of IV heparin (called low molecular weight heparin). Risk for bleeding increases because blood thinners increase the time it takes your blood to clot. The most common signs of increased bleeding include unusual bruising, nosebleeds, and bleeding gums.

Patients with blood clots who were discharged on blood thinner medication and received written instructions about medicine– The percentage (%) of patients with a blood clot who received written instructions about the blood thinner medicine. Educating patients about how to take the medicine and its possible side effects can help prevent problems that could bring them back to the hospital. Before leaving the hospital, patients with a blood clot, who are taking a blood thinner medicine, and their caregiver should receive information about the following topics: Compliance (how to follow medication instructions), Diet (how to eat a healthy diet and avoid foods that interfere with blood thinners), Monitoring their blood thinner medicine, Adverse drug reactions (difficulty breathing, vomiting, nausea), and When to call your health care provider (dizziness or weakness, a fall, bright red bleeding).