BACKGROUND: @entity1211 ( @entity1211 ) is a major health and financial burden. @entity1211 impacts health outcomes in surgical and non-surgical @entity1 . @entity1211 prophylaxis is underutilized, particularly amongst high risk medical @entity1 . We conducted a multicentre clinical audit to determine the extent to which appropriate @entity1211 prophylaxis in acutely ill hospitalized medical @entity1 could be improved via implementation of a multifaceted nurse facilitated educational program. METHODS: This multicentre clinical audit of 15 Australian hospitals was conducted in 2007-208. The program incorporated a baseline audit to determine the proportion of @entity1 receiving appropriate @entity1211 prophylaxis according to best practice recommendations issued by the Australian and New Zealand Working Party on the Management and Prevention of @entity1211 (ANZ-WP recommendations), followed by a 4-month education intervention program and a post intervention audit. The primary endpoint was to compare the proportion of @entity1 being appropriately managed based on their risk profile between the two audits. RESULTS: A total of 8774 @entity1 (audit 1; 4399 and audit 2; 4375) were included in the study, most (82.2% audit 1; and 81.0% audit 2) were high risk based on ANZ-WP recommendations. At baseline 37.9% of high risk @entity1 were receiving appropriate thromboprophylaxis. This increased to 54.1% in the post intervention audit (absolute improvement 16%; 95% confidence interval [CI] 11.7%, 20.5%). As a result of the nurse educator program, the likelihood of high risk @entity1 being treated according to ANZ-WP recommendations increased significantly (OR 1.96; 1.62, 2.37). CONCLUSION: Utilization of @entity1211 prophylaxis amongst hospitalized medical @entity1 can be significantly improved by implementation of a multifaceted educational program coordinated by a dedicated nurse practitioner.

XXXX prophylaxis guideline implementation is improved by nurse directed feedback and audit.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity1211 :: ('MESH:D054556', 'Disease') :: ['Venous Thromboembolism', 'Venous thromboembolism', 'VTE']
@entity1211 :: (MESH:D054556,Disease) :: ['Venous thromboembolism']
