VTE EXEMPLAR AWARDSCELEBRATING WORLD THROMBOSISDAY 2021

#VTEDUB21

SCIENTIFIC ADVANCEMENT MATERNITY HOSPITALS2021

PROF. BRIAN CLEARY – CHIEF PHARMACIST & JENNIFER DONNELLY, CONSULTANT OBSTETRICIAN AND THEIR MULTIDICIPLANARY TEAM IN THE ROTUNDA HOSPITAL FOR THROMBOCALC.

Brian, Jennifer and their MDT, developed an electronic risk assessment tool called Thrombocalc which calculates a simple risk score and makes recommendations on thromboprophylaxis based on each woman's VTE risk factors.

Through collaborative research and quality improvement, Thrombocalcwas embedded in routine care in the Rotunda Hospital, leading to increased compliance with risk assessment, appropriate prevention and a trend to reducing the number of blood clots.

QUALITY IMPROVEMENTMATERNITY HOSPITALS2021

Sile Gill ADON, Dr. Samah Hassan & the Maternity Team in Mayo University Maternity Hospital

Sile & Samah led a QI program to monitor the hospitals practice regarding VTE prophylaxis in mothers and to implement measures to increase compliance.Introduction of a specially designed preforma, visual aids for staff & mothers 'Do you Know your VTE Score' and teaching sessions for doctors and nurses. The service was audited in January and then July 2021and showed a huge increase in compliance with VTE Risk Assessment.

VTE SCIENTIFIC ADVANCEMENTACUTE HOSPTAL2021

IEHG VTE SERVICE REVIEW WORKING GROUP – with a particular acknowledgement to Mick Fitzpatrick

VTE INCIDENCE DATA DASHBOARD

➢ Developed in 2018 the VTE dashboard showing VTE incidents and burden of HAT. This gives real-time VTE incidence paterns, which is crucial to VTE improvement, service provisions and advancement of clinical research. It is the first of its kind in Ireland and inpatient episodes are extracted, processed and uploaded for analysis.

➢ Management & teams at group and hospital level, now have line of sight of VTE activity, raising VTE awareness and local initiatives.

VTE QUALITY IMPROVEMENTACUTE HOSPITAL2021ST. VINCENTS PRIVATE HOSPTAL CLINICAL PHARMACY TEAM

VTE PROPHYOLAXIS DASHBOARD

➢ Using Meg audit tools, an app was developed with the help of VTE Ireland, Prof. Fionnuala Ni Ainle, Dr. Barry Kevane & Dr. Tomas Breslin to audit VTE Prophylaxis efficiently.

➢ This App has enabled SVPH to develop a quality of service and improve patient safety. It identifies areas that are underperforming and areas that continue to improve.

➢ Auditing of VTE Prophylaxis is reported in real time and can be acted on immediately.

➢ The long term vision is that it would be used in all Irish hospitals and that all data would be collected into a National System.

BEST HOSPITAL

2021

LIMERICK UNIVERSITY HOSPITAL

➢ VTE patient satisfaction of 98%

➢ As an admittance avoidance initiative a DVT nurse led service was set up in 2019 with referrals from ED or directly from GP's. Out of 2100 seen to date only 2% have been admitted and 78% are discharged from clinic within 2-4 hours.

➢ In 2020 a virtual nurse led clinic was set up to review and discharge patient with superficial Thrombophlebitis reducing attendance to the anticoagulation clinic.

➢ Ongoing education of staff, patients and public in prevention and treatment of VTE.

➢ Plans to set up a stand alone Thrombosis unit with a Warfarin Clinic, DVT and low risk PE management. This will include an initiative surrounding the psychological impact of VTE on Patients health and well being.

BEST HOSPITAL GROUP2021

(IEHG) IRELAND EAST

HOSPITAL GROUP

IEHG comprises 11 hospitals and cover greater than 1,000,000 people. This group demonstrates above others its commitment to the provision of VTE excellence.

Their focus is to promote evidence based care pathways for prevention of, diagnosis of and treatment of VTE and to harmonisepathways across hospitals with a Patient/HCP collaborative approach.

They are the first group nationally to determine VTE incidents and the burden of HAT events within their hospital group.

Warriors

Thrombosis Ireland would like to honor the

following VTE Warriors for their commitment on a

daily basis, to ensure their Patients receive

optimal safe care and education in a truly

compassionate and holistic way.

This kind of care aids both physical and

psychological recovery

You Shine!

Jacinta Byrne CNMS,

National Maternity Hospital

Jacinta has developed Prophylaxis Protocols for the anti natal and post natal periods.

She tirelessly, educates Patients & staff about the importance of risk assessment in pregnancy and post natal period.

She runs a nurse led Thromboprophylaxis clinic and ensures Patients receive appropriate prophylaxis.

Jacinta is a legend in the National Maternity Hospital and she goes above and beyond to offer support to her patients with an at risk pregnancy.

MATERNITY

VTE WARRIOR

2021

VTE WARRIOR

2021

CATRIONA O'LEARY, CNS ANTICOAGULATION

SERVICES AND cANP AT

CORK UNIVERSITY HOSPITAL

Catriona, constantly strives to ensure Patients are anticoagulated in a safe and efficacious way. She runs an anticoagulation review clinic and she also runs a Thrombosis Clinic.

She is a leader in educating Patients and fellow clinicians.

VTE WARRIOR

2021

SARAH GARVEY ADVANCED NURSE

PRACTITIONER

BEAUMONT HOSPITAL

Nominated by her Patients, Sarah has a passion for VTE and is determined to see a VTE service evolve in Beaumont. She follows her patients from diagnosis to discharge and ensures that they go home with their unknowns answered and their safety concerns talked through.

Her leadership and passion for VTE shines through in her care for her patients.

She constantly provides VTE Education to hospital colleagues in innovative ways.

VTE WARRIOR

2021

CIARA KIRKE

CLINICAL LEAD, NATIONAL MEDICATION SAFETY PROGRAM HSE

Ciara led the recent National Collaborative Project which demonstrated that significant improvements can be achieved in the area of Hospital Acquired VTE when a systematic evidence based approach to VTE Risk Assessment and prescribing is adopted. This work led to the publication of the first National Guideline for VTE Prevention in Irish Hospitals.

Ciara worked with Thrombosis Ireland to create and distribute our HSE approved Blood Clot Alert Card to all Acute Hospitals and more recently to introduce our VTE safety message in our Maternity Hospiital's through the NWIP.

VTE WARRIOR

2021

NIAMH O'HANLON

CHIEF II PHARMACIST

ST.VINCENT UNIVERSITY HOSPITAL

Niamh is a major force in driving quality improvement in the field of Thromboprophylaxis and is dedicated to patient safety in the setting of anticoagulation.

She ensures that patients in the SVHG are managed and educated appropriately.

Niamh is always mindful of the Patient Perspective.

VTE TEAM WARRIORS2021

Prof. Fionnuala Ni Ainle & Dr. Barry Kevane, Consultant Haematologists.

The Mater Misericordiae University Hospital

Fionnuala & Barry continually improve the care of VTE Patients based on evolving scientific research.

They have built an expanded VTE Team in the Mater, with the addition of a nurse specialist & haematologist.

They provide weekly staff education sessions with updated information on prevention and management of VTE and ongoing QI projects.

They are a real driving force in the area of up to date VTE data collection.

VTE National Champions2021

DR. SU MAUNG & HER EXCEPTIONAL

VTE WORKING GROUP IN OUR LADY'S

HOSPITAL, NAVAN.

In the three years since the formation of the VTE working group in Our Lady's Hospital, Navan, this team have managed to

Implement VTE Risk Assessment & appropriate Prophylaxis for all Patients.

Prospective Data collection and incidence reporting for HAT.

Guidelines for management of superficial Thrombophlebitis.

DVT diagnostic pathway & nurse led DOAC Clinic.

Electronic prompt for WELLS SCORE when ordering ultrasound, Doppler/CTPA

Ongoing staff & patient education

Plans to set up Patient support group.