VTE EXEMPLAR AWARDS CELEBRATING WORLD THROMBOSISDAY 2021 #VTEDUB21 - Thrombosis Ireland

VTE EXEMPLAR AWARDS
  CELEBRATING WORLD THROMBOSISDAY 2021
             #VTEDUB21

SCIENTIFIC
ADVANCEMENT MATERNITY
HOSPITALS
2021

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, Thrombocalc
was 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
IMPROVEMENT
MATERNITY
HOSPITALS
2021
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 ADVANCEMENT
ACUTE HOSPTAL
2021

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
IMPROVEMENT
ACUTE HOSPITAL
2021
ST. VINCENTS PRIVATE HOSPTAL
CLINICAL PHARMACY TEAM
VTE PROPHYLAXIS 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
GROUP
2021
(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 harmonise
    pathways 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!

MATERNITY
VTE WARRIOR
2021
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.

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
WARRIORS
2021
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 Champions
2021

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.