eP273 Investigating the prescription and compliance of VTE prophylaxis of surgical patients

Aims Investigate:If enoxaparin is prescribed and whether correct/incorrect doseWhether TED stockings are prescribed and administered.Why venous thromboembolism (VTE) prophylaxis may not be appropriately prescribed Methodology A retrospective study was performed. For the first cycle, data was collected from a single day of surgical admissions. For the second cycle, data was collected after introduction of the new electronic system, aiming to observe whether improvements in prophylaxis were noted. Inclusion: Adult, Surgical patient Exclusion: Medical patient, End of life, Discharged before VTE assessment Results In the first cycle, 68 patients included. Of these, 48 (71%) were prescribed enoxaparin, 34 (71%) of which were prescribed correct dose. Of the 20 (29%) not prescribed enoxaparin, the main reasons included bleeding risk or concurrent DOAC. Regarding stockings, 43 (63%) had prescription, but only 23 (53%) were administered. 11 (16%) patients had neither VTE prescribed. In the second cycle, 57 patients included. 37 (65%) were prescribed enoxaparin, 35 (95%) of which were prescribed correct dose. Of the 20 (35%) not prescribed enoxaparin, the main reason included bleeding risk, however 6 were unclear due to poor documentation. Regarding stockings, 37 (65%) had prescription, but only 27 (73%) were administered. Of the 10 not wearing stocking despite being prescribed, the main reason was patient refusal. 10 (18%) patients had neither VTE prescribed. Conclusion Overall, the new system resulted in an increase in the percentage of correctly dosed enoxaparin, increase in prescription of stockings and increase in application of stockings.