Development of a Guideline for Treatment of Deep and Superficial Venous Thrombosis in the Emergency Department

dc.contributor.advisorCostanzo, Cindy
dc.contributor.authorTosone, Nancy
dc.contributor.authorCostanzo, Cindy
dc.date.accessioned2012-02-02T15:52:24Z
dc.date.accessioned2012-02-02T15:52:24Z
dc.date.available2012-12-17T09:40:08Z
dc.date.available2012-12-17T09:40:08Z
dc.date.created2011-12-08
dc.date.created2011-12-08
dc.date.issued2012-02-02
dc.date.issued2012-02-02
dc.degree.committeeCostanzo, Cindy
dc.degree.committeeO'Keefe, Catherine
dc.degree.committeePaulman, Nicole
dc.degree.disciplineDoctor of Nursing Practice (DNP) Program
dc.degree.levelDNP
dc.degree.nameDoctor of Nursing Practice
dc.description.abstractPurpose: The purpose was to implement an evidence based guideline on deep venous thrombosis (DVT) for the Emergency Department (ED). Specific aims: a) conduct an organizational assessment of DVT treatment practices b) compare organizational results with evidence based treatment guidelines c) develop recommendations for treatment of DVT for ED discharge d) conduct an interdisciplinary evaluation of the evidence based guideline. Significance: Patients with DVT often present to the ED and are aged 45-64 with an annual cost of $1.5 to $3.2 billion per year. Methods: A retrospective review of 149 records in 2010 with adults in an urban Midwestern ED. Results: Differences in provider practices were identified. A guideline was developed which included clinical management, social/financial concerns, patient education, anticoagulation monitoring and outpatient follow up. Evaluation included simulation exercises with an interdisciplinary team. Implementation and evaluation through electronic and paper communication, medical record monitoring and patient call back.
dc.description.abstractPurpose: The purpose was to implement an evidence based guideline on deep venous thrombosis (DVT) for the Emergency Department (ED). Specific aims: a) conduct an organizational assessment of DVT treatment practices b) compare organizational results with evidence based treatment guidelines c) develop recommendations for treatment of DVT for ED discharge d) conduct an interdisciplinary evaluation of the evidence based guideline.|Significance: Patients with DVT often present to the ED and are aged 45-64 with an annual cost of $1.5 to $3.2 billion per year.|Methods: A retrospective review of 149 records in 2010 with adults in an urban Midwestern ED.|Results: Differences in provider practices were identified. A guideline was developed which included clinical management, social/financial concerns, patient education, anticoagulation monitoring and outpatient follow up. Evaluation included simulation exercises with an interdisciplinary team. Implementation and evaluation through electronic and paper communication, medical record monitoring and patient call back.
dc.description.noteManuscripten_US
dc.description.pages32 pagesen_US
dc.embargo.terms2012-12-17
dc.embargo.terms2012-12-17
dc.identifier.urihttp://hdl.handle.net/10504/26708
dc.identifier.urihttp://hdl.handle.net/10504/26708
dc.rightsCopyright is retained by the Author. A non-exclusive distribution right is granted to Creighton University
dc.rightsAttached
dc.rights.holderNancy Tosone, MSN
dc.subject.meshVenous Thrombosis
dc.subject.meshVascular Diseases
dc.subject.meshVascular Disease
dc.subject.meshThrombosis
dc.titleDevelopment of a Guideline for Treatment of Deep and Superficial Venous Thrombosis in the Emergency Department
dc.typeManuscript
dc.url.link1https://login.cuhsl.creighton.edu/login?url=http://dx.doi.org/10.1097/TME.0b013e318253f72c
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