VTE Risk Assessment
Jennifer Ross, Medication Safety Officer
• Numerous ‘policies’ across board.
• Variation within specialty by consultant.
• Confusion for junior medical staff.
• Lack of ownership.
• Varied levels of awareness
• Limited involvement of patients.
Examples of tests/changes
Test Five & beyond: Risk assessment has
been well received (so far!) requires testing in
other specialties now. Acute elderly admission
area, AMAU, community hospital and
Orthopaedics are in discussion to start testing
Test Four: Tested in Oncology unit initially Dr’s
reluctant to use, SPR Champion identified.
Test Three: Standardised risk assessment for Medical, Surgical &
Orthopaedic patients developed with outlined prescribing guidance.
Tested 1,3,5 and spread across surgical floor.
Test Two: Flow chart’s from England sourced and risk assessment improved to
include prescribing guidance for standard patients. Tested 1,3,5 –spread in 1
ward. Wider use of risk assessment considered and tool put back on the drawing
Test One: Flow chart based on DOH risk assessment tested on 1 patient in general surgery.
Flow chart worked but prescribing step not accounted for.
Risk Assessment Tools
Learning for improvement
• Remember to test.
• Use national guidance.
• Find champions.
• Involve patients.
• Network, network, network!!!!!
Next Steps / Aims
• Once Sign guidance released – Orthopaedics
• E-learning for all staff linked to KSF
• Patient information to be printed in encapsulated
form. (reduce costs)
• Launch of policy and Risk assessment to whole
• Keep measuring!
• Save lives.