Venous thromboembolism in the emergency department: A survey of current best practice awareness in physicians and nurses in China
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摘要BACKGROUND: For emergency department (ED) patients, risk assessment, prophylaxis, early diagnosis and appropriate treatment of venous thromboembolism (VTE) are essential for preventing morbidity and mortality. This study aimes to investigate knowledge amongst emergency medical staff in the management of VTE.

METHODS: We designed a questionnaire based on multiple scales. The questionnaire was distributed to the medical and nursing clinical staff in the large urban ED of a medical center in Northern China. Data was described with percentages and the Kruskal-Wallis test was used to compare ranked data between different groups. The statistical analysis was done using the SPSS 22.0 software.

RESULTS: In this survey, 180 questionnaires were distributed and 174 valid responses (response rate of 96.67%) were collected and analyzed. In scores of VTE knowledge, no significant differences were found with respect to job (doctor vs. nurse), the number of years working in clinical medicine, education level, and current position, previous hospital experience and nurses' current work location within the ED. However, in pair wise comparison, we found participants who worked in ED for more than 5 years (n=83) scored significantly higher on the questionnaire than those under 5 years (n=91) (95.75 vs. 79.97, P=0.039). There was a significant difference in some questions based on gender, age, job, and nurse work location, number of working years, education level, and different ED working lifetime.

CONCLUSION: Our survey has shown deficiencies among ED medical staff in knowledge and awareness of the management of VTE. We recommend several changes be considered, such as the introduction of an interdisciplinary workshop for medical staff; the introduction of a standardized VTE protocol; a mandatory study module on VTE for new physicians and nurses; the introduction of a mandatory reporting system for adverse events (including VTE).
著者Zhou WH, He JQ, Guo SG, Walline J, Liu XY, Tian LY, Zhu HD, Yu XZ, Li Y
期刊名稱World Journal of Emergency Medicine
出版年份2019
月份1
卷號10
期次1
出版社ZHEJIANG UNIV SCH MEDICINE
頁次5 - 13
國際標準期刊號1920-8642
語言英式英語
關鍵詞Emergency, Venous thromboembolism, Staff knowledge, Emergency doctor, Emergency nurse
Web of Science 學科類別Emergency Medicine;Emergency Medicine

上次更新時間 2020-28-11 於 02:26