Implementing Best-Practice VTE Prevention in Trauma Centers
This document outlines the milestones and progress towards implementing a patient-centered Venous Thromboembolism (VTE) prevention program in trauma centers. It includes data collection, nurse education, real-time alert system finalization, patient-centered education interventions, milestone dates, site updates, and pre-implementation data status. The document provides a detailed overview of the activities, timelines, and goals for enhancing VTE prevention strategies in trauma care settings.
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CLOTT 3 January 2023 Monthly Meeting Implementing Best-Practice, Patient-Centered Venous Thromboembolism (VTE) Prevention in Trauma Centers
Milestone Dates Receive pre-implementation data collection across all implementation sites. This includes trauma patient admissions, demographics, injury characteristics, length of stay, outcomes, complications, VTE events (from trauma registries) and VTE missed doses from EHR. Complete data collection of number of nurses educated at each site. This includes number of nurses assigned to be trained at each site as well as the percentage that complete training. Data Collection (Pre- Implementation) F1 11/30/2022 F2 Nurses Education Data 11/30/2022 Data Collection/Analysis (Pre-Implementation) F3 Complete data collection and analysis for pre-implementation activities (B9). 12/31/2022 F4 Real-time Alert Build Finalize real-time EHR alert system at all implementation sites 12/31/2022 Patient-centered Education Intervention Implementation Site Reports Electronic Health Record Data Pull F5 Initiate patient education bundle at last center (9 total) 12/31/2022 F6 Provide summary of implementation site reports 1/31/2023 F7 Collect and aggregate site data for missed doses to generate missed dose reports 1/31/2023 F8 Trauma Registry Data Pull Collect and aggregate site data for participants to generate missed dose reports 1/31/2023 Missed Dose Reports to Sites F9 Begin providing sites with missed dose data 2/28/2023 F10 Interim Analysis Interim analysis to evaluate effectiveness 2/28/2023
Site by Site Milestone Updates Submit trauma registry pre- implement data to JHU Submit missed dose pre- implement data to JHU Real Time Alert Site Name Peer Coaching Launched Christiana Hospital Complete Complete Complete Phone, In person July 20, 2022 University of Maryland Oregon Health & Science University Complete Complete Complete In person 9/28/22 August 11, 2022 Complete August 16, 2022 Stanford University Complete Complete Complete Phone September 7, 2022 Lancaster General Complete Complete Complete Phone, In person on 10/11/22 November 7, 2022 Medical College of Wisconsin Complete Complete Complete Phone 9/26 December 5, 2022 Zoom on 11/4/22, front line 11/15, 11/18, 11/23 Phone with Costantini 10/17/21, mtg with nurse leaders, front line mtg on 12/14/22 University of Utah University of California San Diego Medical University of South Carolina Complete
Pre-Implementation Data Past Due: Should have been submitted by 11-30-2022 Update from sites on how we can help The date range for this data is January 2019- December 2021. o Trauma Registry Data o Missed Dose Data
Nurse Education Percent of all Completers Site Completers Each Site's Target # Percent Completed Penn/Lancaster General Stanford University University of California San Diego University of Maryland University of Utah Oregon Health & Science University Christiana Hospital Medical College of Wisconsin Medical University of South Carolina 20% 11% 12% 4% 11% 5% 5% 10% 7% 235 131 157 73 122 60 58 126 91 1051 92% 92% 81% 67% 100% 88% 98% 84% 82% 88% 217 121 127 49 122 53 57 106 75 927 144 31 1102 Actual Project Total Extra Completers (UMD) Extra Completers (UCSF) All Module Completers - 13% 3% 100% - - - - - - Edited: 12/7/2022
Milestone Requirement: Peer Coach / Nurse Educator Dauryne Shaffer RN,MSN,CCRN Can initiate before roll out Face to face (limited by distance and travel restrictions) Online, live peer coaching Preset office hours for support in real time Available for team meetings, rollouts, and/or one-on-one reviews Required to track coaching sessions
Qualitative Site Interviews University of Pennsylvania will conduct the interviews Goal To understand your perspective on implementing the nurse- education module, the real-time alert, and the patient- education bundle for venous thromboembolism (VTE) prevention among trauma patients. Questions What it was like to participate in the study Barriers that you had to overcome Strategies you used to successfully implement the project
Project Roles to be Interviewed We are interested in how each role supported carrying out the project at your site. Trauma Surgeons/ Primary Investigators Nurse Managers Nurses (front line) IT (Alert Builders) Research Manager/ Data Coordinator For sites that are chosen to participate, we will request contact information for a person in each project role.
Project Documents All project documents are available on the CLOTT 3 Project Webpage. https://www.nattrauma.org/research/research-policies-templates- guidelines/clott-3-project-page/ Password is CLOTT123
Christiana PI: Anne Warner Research Contact: John Getchell Milestone Nurse Education Status 98% Submit Trauma Registry Data Submitted Submit Missed Dose Data Submitted Real Time Alert Complete Education Materials Printed Complete Peer Coaching Anticipated Launch Date Phone, In-Person Launched July 20, 2022
University of Maryland PI: Rosemary Kozar Research Contact: Paul Thurman Milestone Nurse Education Status 67% Submit Trauma Registry Data Submitted Submit Missed Dose Data Submitted Real Time Alert Complete Education Materials Printed Complete Peer Coaching In person 9-28-22; needs additional session with front line nurses Launched August 2022 Anticipated Launch Date
Oregon Health & Science University PI: Laszlo Kiraly Research Contact: Samantha Underwood Milestone Nurse Education Status 88% Submit Trauma Registry Data Submit Missed Dose Data Real Time Alert Complete Education Materials Printed Complete Peer Coaching Anticipated Launch Date Need to Schedule Launched August 16, 2022
Stanford University PI: Lisa Knowlton Co-I David Spain Research Contact: Shelly Woodfall Milestone Nurse Education Status 92% Submit Trauma Registry Data Complete Submit Missed Dose Data Complete Real Time Alert Complete Education Materials Printed Complete Peer Coaching Initial Phone Complete, Follow up on scheduling with front line nurses Launched September 7, 2022 Anticipated Launch Date
Penn Medicine: Lancaster PI: Eric Bradburn Research Contact: JoAnn Miller Milestone Nurse Education Status 92% Submit Trauma Registry Data Submitted Submit Missed Dose Data Submitted Real Time Alert Complete Education Materials Printed Complete Peer Coaching Anticipated Launch Date Phone, In person on 10/11/2 Launched November 7, 2022
University of Utah PI: Marta McCrum Research Contact: Judy Carle Milestone Nurse Education Status 100% Submit Trauma Registry Data Submit Missed Dose Data Real Time Alert Education Materials Printed Complete Peer Coaching Zoom on 11/4/22, front line 11/15, 11/18, 11/23 January 2023 Anticipated Launch Date
Medical College of Wisconsin PI: David Milia Research Contact: Margo Manz-Wichman Milestone Nurse Education Status 84% Submit Trauma Registry Data Submitted Submit Missed Dose Data Submitted Real Time Alert Complete Education Materials Printed Complete Peer Coaching Phone 9/26/22, Need to schedule with front line nurses Launched 12/5/22 Anticipated Launch Date
UC San Diego PI: Todd Costantini Research Contact: Milestone Status Nurse Education 81% Submit Trauma Registry Data Submitted Submit Missed Dose Data Real Time Alert Education Materials Printed Complete Phone with Costantini 10/17/21, mtg with nurse leaders, front line mtg on 12/14/22 January 2023 Peer Coaching Anticipated Launch Date
Medical University of South Carolina PI: Bruce Crookes Research Contact: Stephanie Chamberlin Milestone Status Nurse Education 82% Submit Trauma Registry Data Submit Missed Dose Data Real Time Alert Education Materials Printed Peer Coaching Need to schedule Anticipated Launch Date January 2023
