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Venous thromboembolism (VTE), a serious and potentially fatal disease, is one of the main causes of morbidity and mortality in patients in the hospital setting. Aims: To evaluate the impact after introduction of a prophylaxis protocol for VTE in the quality of medical prescriptions. Methods: Hospital patients were submitted to a stratified questionnaire regarding the risk of developing VTE. A comparison was made between the measures taken and recommended in the literature, in two periods, before and after the introduction of the protocol. Results: A total of 160 patients, 72 clinicians and 88 surgeries were studied. Prior to the implementation of the protocol, 47% of those classified as high risk received adequate prophylaxis and only 13% of the high-risk and 54% of the very highrisk group. In the second study period, with a duration of 3 months in 2015, after the introduction of the protocol, the prescription of prophylaxis for VTE increased to 81.81%, 33.3% and 73.68% in the same groups. There was adequacy between the indication and the correct use of prophylaxis in 20.69% of the clinical patients and in 18.67% of the surgical ones. After the implementation of the protocol, the indices were 50% and 34.38% of the first study. Conclusion: Prescription and adequacy rates increased after the introduction of the VTE prevention protocol, however, despite the satisfactory results, more studies are essential to identify the main reasons for the lack of full adherence to the new measures implemented. CC BY-NC-SA 4.

Impacto de Protocolo de Profilaxia para Tromboembolismo Venoso na Qualidade das Prescrições Médicas