Authors (including presenting author) :
Lam HY(1), Kwok Y(1), Yuen WT(1), Cheung YH(1)
Affiliation :
(1) Ortho Rehab Ward 3L, Department of Medicine, Haven of Hope Hospital
Keyword 3: :
early detection
Keyword 4: :
staff competency
Introduction :
Venous thromboembolism (VTE) is a significant yet preventable complication in orthopedic patients, particularly during the postoperative rehabilitation phase when mobility is limited and clinical symptoms may be subtle. Delayed recognition of VTE can lead to serious morbidity and compromise patient safety. Variability in staff awareness, inconsistent risk assessment practices, and the absence of standardized monitoring workflows may hinder timely detection. To address these, a comprehensive VTE enhancement program was implemented in ortho rehab ward to promote evidence‑based practice, early identification, and standardized clinical management.
Objectives :
1.Proactively identify patients at risk of VTE to facilitate timely clinical intervention. 2.Enhance multidisciplinary staff awareness, knowledge, and competence in VTE prevention and early detection. 3.Standardize VTE screening and monitoring practices using validated risk assessment tools to reduce variation.
Methodology :
A multifaceted, evidence‑based VTE enhancement program was introduced. (1) Structured theoretical training sessions were conducted to strengthen staff knowledge of VTE risk factors, early clinical signs, and escalation pathways. (2) A standardized VTE screening and prevention workflow was implemented across the ward. The Wells score for deep vein thrombosis was incorporated as a structured assessment tool to support systematic evaluation of VTE probability and guide timely escalation for further medical assessment. Visual aids and reminder tools were introduced to reinforce consistent application of the workflow. (3) Systematic data collection and review of VTE incidents were established to support continuous quality improvement. A pre‑post test design was used to evaluate staff knowledge acquisition and self‑reported confidence. Random audits were conducted to assess compliance with VTE risk assessment and appropriate application of the Wells score. VTE alert reporting times and incidence rates during the inpatient rehabilitation period were monitored.
Result & Outcome :
Eighteen staff members participated in the program. Post‑training assessments demonstrated a marked improvement in VTE‑related knowledge, with mean scores increasing by 68%. Self‑reported confidence in VTE prevention and early detection averaged 4.83 out of 5. Random audits demonstrated a 100% compliance rate with standardized VTE risk assessment and screening procedures. During the evaluation period, suspected VTE cases were identified at an early stage, with no VTE‑related complications reported during inpatient rehabilitation. The program strengthened staff competence, improved adherence to standardized workflows, and enhanced patient safety.
