Display options
Cite
McFarland L, Murray E, Harrison S, et al. Current practice of venous thromboembolism prevention in acute trusts: a qualitative study. BMJ Open. 2014;4(6):e005074doi: 10.1136/bmjopen-2014-005074.
McFarland, L., Murray, E., Harrison, S., Heneghan, C., Ward, A., Fitzmaurice, D., & Greenfield, S. (2014). Current practice of venous thromboembolism prevention in acute trusts: a qualitative study. BMJ open, 4(6), e005074. https://doi.org/10.1136/bmjopen-2014-005074
McFarland, L, et al. "Current practice of venous thromboembolism prevention in acute trusts: a qualitative study." BMJ open vol. 4,6 (2014): e005074. doi: https://doi.org/10.1136/bmjopen-2014-005074
McFarland L, Murray E, Harrison S, Heneghan C, Ward A, Fitzmaurice D, Greenfield S. Current practice of venous thromboembolism prevention in acute trusts: a qualitative study. BMJ Open. 2014 Jun 17;4(6):e005074. doi: 10.1136/bmjopen-2014-005074. PMID: 24939809; PMCID: PMC4067865.
Copy Download .nbib Format: NLM
Share it on

BMJ Open. 2014 Jun 17;4(6):e005074. doi: 10.1136/bmjopen-2014-005074.

Current practice of venous thromboembolism prevention in acute trusts: a qualitative study.

BMJ open

L McFarland, E Murray, S Harrison, C Heneghan, A Ward, D Fitzmaurice, S Greenfield

Affiliations

  1. Primary Care Clinical Sciences, School of Health and Population Sciences, University of Birmingham, Birmingham, UK.
  2. Department of Primary Health Care, University of Oxford, Oxford, UK.

PMID: 24939809 PMCID: PMC4067865 DOI: 10.1136/bmjopen-2014-005074

Abstract

OBJECTIVE: To explore the current practice of venous thromboembolism (VTE) prevention in acute trusts.

DESIGN: A qualitative research design was used to explore the perceived current practice of thromboprophylaxis, and knowledge and experience of VTE prevention. Data were collected via interviews with personnel from acute trusts and other relevant organisations and charities. Constant comparison was used to generate themes grounded in the data.

SETTING: The UK.

PARTICIPANTS: 17 participants, sampled due to their expertise and knowledge in the field of VTE, were interviewed for the study.

RESULTS: No one felt directly responsible for VTE risk assessment and treatment in acute trusts. There were concerns whether any action takes place based on the risk assessment. Low levels of VTE knowledge existed throughout the system.

CONCLUSIONS: Our study highlights the importance of continuous training to prevent VTE risk assessment being considered a tick box exercise and for clinicians to understand the significance of the procedure to ensure that VTE preventative measures are administered. It is essential that acute trust staff acknowledge that VTE prevention is the responsibility of everyone involved in a patient's care. Concerns remain around prophylaxis treatment, administration and contraindications.

Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

Keywords: QUALITATIVE RESEARCH

References

  1. N Engl J Med. 2004 May 27;350(22):2257-64 - PubMed
  2. NIDA Res Monogr. 1990;98:31-43 - PubMed
  3. J Thromb Haemost. 2006 Mar;4(3):529-35 - PubMed
  4. Arch Intern Med. 2006 Feb 27;166(4):458-64 - PubMed
  5. Fam Pract. 1996 Feb;13(1):92-7 - PubMed
  6. Heart. 2013 Dec;99(23):1734-9 - PubMed
  7. Thromb Haemost. 2010 Apr;103(4):736-48 - PubMed
  8. BMJ Open. 2013 Apr 02;3(4): - PubMed
  9. Lancet. 2008 Feb 2;371(9610):387-94 - PubMed
  10. Thromb Haemost. 2007 Oct;98(4):756-64 - PubMed
  11. Thromb Haemost. 2012 Jun;107(6):1027-34 - PubMed
  12. BMJ. 2007 May 19;334(7602):1053-4 - PubMed
  13. Pharmacotherapy. 2009 Aug;29(8):943-53 - PubMed
  14. Heart. 2010 Jun;96(11):879-82 - PubMed
  15. J Nerv Ment Dis. 1987 Sep;175(9):566-74 - PubMed
  16. Chest. 2008 Jun;133(6 Suppl):381S-453S - PubMed

MeSH terms

Publication Types

Grant support