Risks and deficient communication in thrombosis care
Risico's en gebrekkige afstemming in de trombosezorg
05 July 2012, PDF |
108 pages |
Lambooij MS, Drewes HW
RIVM Report 260242001
Communication between thrombosis services and other care providers involved in thrombosis care, such as hospitals, homes for the elderly and pharmacies, is not optimal. Because of this, the thrombosis service may lack sufficient information to decide whether a patient's medication needs to be adapted. As a consequence, patients may receive inappropriate doses of medication thus increasing the risk of thrombi or haemorrhages. Yet, this study could not show an association between a lack of communication and such risks, possibly because of inadequate data. Still, the thrombosis services indicated to lose much time due to insufficient information from other care providers, to ensure that patients receive the care that they need. Almost half of the thrombosis services does not have formal agreements on communication concerning the care, forcing thrombosis services time and time again to find ad hoc solutions. Additionally, the different disciplines involved in thrombosis care use different medical protocols which may interfere with the continuity of care. This study found the use of ICT for information exchange between care providers as a good practice. Also, care providers indicated that a coordinator, responsible for the care given to the patient, may improve thrombosis care. The use of a national protocol or standard for care can help improve the efficiency of thrombosis care. The reason for this study was that in almost a quarter of the avoidable hospital admissions due to medication, anticoagulants are involved. Among these drugs are cumarines, the medication managed by the thrombosis service. The aim of this study is to find problems and risks in the thrombosis care. For this study, thrombosis services were interviewed and questionnaires were filled out by thrombosis services and homes for the elderly. Experts involved in the complete process of thrombosis care were asked about their findings.