Evaluation of an intervention for the use of thromboprophylaxis based on electronic alert transmission to first-year medical residents from two hospitals of Lima, Peru
Objectives. To assess the implementation of an intervention based on the sending of text messages and e-mails to internal medicine residents in order to achieve an increase in the prescription of thromboprophylaxis according to Clinical Practice Guidelines (CPG). Materials and methods. A quasi-exper...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | Spanish |
| Published: |
Instituto Nacional de Salud
2016-09-01
|
| Series: | Revista Peruana de Medicina Experimental y Salud Pública |
| Subjects: | |
| Online Access: | https://rpmesp.ins.gob.pe/index.php/rpmesp/article/view/2372 |
| _version_ | 1818339782986563584 |
|---|---|
| author | Roberto Delgado-Zapata Ray Ticse María de los Ángeles Gamarra Katherine Gómez Wilfredo Mormontoy |
| author_facet | Roberto Delgado-Zapata Ray Ticse María de los Ángeles Gamarra Katherine Gómez Wilfredo Mormontoy |
| author_sort | Roberto Delgado-Zapata |
| collection | DOAJ |
| description | Objectives. To assess the implementation of an intervention based on the sending of text messages and e-mails to internal medicine residents in order to achieve an increase in the prescription of thromboprophylaxis according to Clinical Practice Guidelines (CPG). Materials and methods. A quasi-experimental study was conducted in the inpatient units of internal medicine at two general hospitals in Lima, Peru: one selected to implement the intervention and the other as control. The unit of analysis was the therapeutic order sheet. It was considered that the intervention should increase the order of thromboprophylaxis according to CPG with respect to the initial assessment and also in relation to the control hospital. Results. A total of 394 therapeutic order sheets, 227 (57.4%) from the intervention hospital and 167 (42.4%) from the control, were evaluated. In the intervention hospital, 64.5% initially had an order of thromboprophylaxis according to CPG, which decreased to 54.4% after the intervention; overuse increased from 13.6 to 26.8%. Conclusions. Intervention based on sending text messages and e-mails had no impact, showing a tendency to overuse of thromboprophylaxis post-intervention. |
| first_indexed | 2024-12-13T15:32:29Z |
| format | Article |
| id | doaj.art-fe8a0c42e5ca4677ae3ad0e216dba815 |
| institution | Directory Open Access Journal |
| issn | 1726-4634 1726-4642 |
| language | Spanish |
| last_indexed | 2024-12-13T15:32:29Z |
| publishDate | 2016-09-01 |
| publisher | Instituto Nacional de Salud |
| record_format | Article |
| series | Revista Peruana de Medicina Experimental y Salud Pública |
| spelling | doaj.art-fe8a0c42e5ca4677ae3ad0e216dba8152022-12-21T23:40:08ZspaInstituto Nacional de SaludRevista Peruana de Medicina Experimental y Salud Pública1726-46341726-46422016-09-0133349850610.17843/rpmesp.2016.333.23721807Evaluation of an intervention for the use of thromboprophylaxis based on electronic alert transmission to first-year medical residents from two hospitals of Lima, PeruRoberto Delgado-Zapata0Ray Ticse1María de los Ángeles Gamarra2Katherine Gómez3Wilfredo Mormontoy4Facultad de Medicina, Universidad Peruana Cayetano Heredia. Lima, Perú. Estudiante de MedicinaFacultad de Medicina, Universidad Peruana Cayetano Heredia. Lima, Perú. Servicio de Endocrinología. Hospital Nacional Cayetano Heredia. Lima, Perú. Médico especialista en Medicina Interna y Endocrinología Maestro en Epidemiología ClínicaFacultad de Medicina, Universidad Peruana Cayetano Heredia. Lima, Perú. Estudiante de MedicinaFacultad de Medicina, Universidad Peruana Cayetano Heredia. Lima, Perú. Estudiante de MedicinaDepartamento de Estadística, Demografía, Humanidades y Ciencias Sociales. Facultad de Ciencias, Universidad Peruana Cayetano Heredia. Lima, Perú. Maestro en Salud PúblicaObjectives. To assess the implementation of an intervention based on the sending of text messages and e-mails to internal medicine residents in order to achieve an increase in the prescription of thromboprophylaxis according to Clinical Practice Guidelines (CPG). Materials and methods. A quasi-experimental study was conducted in the inpatient units of internal medicine at two general hospitals in Lima, Peru: one selected to implement the intervention and the other as control. The unit of analysis was the therapeutic order sheet. It was considered that the intervention should increase the order of thromboprophylaxis according to CPG with respect to the initial assessment and also in relation to the control hospital. Results. A total of 394 therapeutic order sheets, 227 (57.4%) from the intervention hospital and 167 (42.4%) from the control, were evaluated. In the intervention hospital, 64.5% initially had an order of thromboprophylaxis according to CPG, which decreased to 54.4% after the intervention; overuse increased from 13.6 to 26.8%. Conclusions. Intervention based on sending text messages and e-mails had no impact, showing a tendency to overuse of thromboprophylaxis post-intervention.https://rpmesp.ins.gob.pe/index.php/rpmesp/article/view/2372tromboprofilaxismensaje de textomensajes electrónicos, guías de práctica clínicatecnología de la informacióneducación médica |
| spellingShingle | Roberto Delgado-Zapata Ray Ticse María de los Ángeles Gamarra Katherine Gómez Wilfredo Mormontoy Evaluation of an intervention for the use of thromboprophylaxis based on electronic alert transmission to first-year medical residents from two hospitals of Lima, Peru Revista Peruana de Medicina Experimental y Salud Pública tromboprofilaxis mensaje de texto mensajes electrónicos, guías de práctica clínica tecnología de la información educación médica |
| title | Evaluation of an intervention for the use of thromboprophylaxis based on electronic alert transmission to first-year medical residents from two hospitals of Lima, Peru |
| title_full | Evaluation of an intervention for the use of thromboprophylaxis based on electronic alert transmission to first-year medical residents from two hospitals of Lima, Peru |
| title_fullStr | Evaluation of an intervention for the use of thromboprophylaxis based on electronic alert transmission to first-year medical residents from two hospitals of Lima, Peru |
| title_full_unstemmed | Evaluation of an intervention for the use of thromboprophylaxis based on electronic alert transmission to first-year medical residents from two hospitals of Lima, Peru |
| title_short | Evaluation of an intervention for the use of thromboprophylaxis based on electronic alert transmission to first-year medical residents from two hospitals of Lima, Peru |
| title_sort | evaluation of an intervention for the use of thromboprophylaxis based on electronic alert transmission to first year medical residents from two hospitals of lima peru |
| topic | tromboprofilaxis mensaje de texto mensajes electrónicos, guías de práctica clínica tecnología de la información educación médica |
| url | https://rpmesp.ins.gob.pe/index.php/rpmesp/article/view/2372 |
| work_keys_str_mv | AT robertodelgadozapata evaluationofaninterventionfortheuseofthromboprophylaxisbasedonelectronicalerttransmissiontofirstyearmedicalresidentsfromtwohospitalsoflimaperu AT rayticse evaluationofaninterventionfortheuseofthromboprophylaxisbasedonelectronicalerttransmissiontofirstyearmedicalresidentsfromtwohospitalsoflimaperu AT mariadelosangelesgamarra evaluationofaninterventionfortheuseofthromboprophylaxisbasedonelectronicalerttransmissiontofirstyearmedicalresidentsfromtwohospitalsoflimaperu AT katherinegomez evaluationofaninterventionfortheuseofthromboprophylaxisbasedonelectronicalerttransmissiontofirstyearmedicalresidentsfromtwohospitalsoflimaperu AT wilfredomormontoy evaluationofaninterventionfortheuseofthromboprophylaxisbasedonelectronicalerttransmissiontofirstyearmedicalresidentsfromtwohospitalsoflimaperu |