Literature DB >> 31396791

Pulmonary embolism response team implementation improves awareness and education among the house staff and faculty.

Yevgeniy Brailovsky1,2, Siri Kunchakarra3, Vladimir Lakhter4, Geoffrey Barnes5, Dalila Masic6, Erin Mancl6, Katerina Porcaro3, Carlos F Bechara7, John J Lopez3, Kevin Simpson8, Verghese Mathew3, Jawed Fareed9, Amir Darki3.   

Abstract

A subset of high-risk pulmonary embolism (PE) patients requires advanced therapy beyond anticoagulation. Significant variation in delivery of care has led institutions to standardize their approach by developing Pulmonary Embolism Response Team (PERT). We sought to assess the impact of PERT implementation on house staff and faculty education. After implementation of PERT, we employed a targeted educational intervention aimed to improve PERT awareness, familiarity with treatment options, role of echocardiogram and Doppler ultrasound, and knowledge of acute PE risk stratification tools. We conducted an anonymous survey among the house staff and faculty before and after intervention to assess the impact of PERT implementation on educational objectives among clinicians. Initial and follow up samples included 115 and 109 responses. The samples were well represented across the subspecialties and all levels of training, as well as junior and senior faculty. Following the educational campaign, awareness of the program increased (72.2-92.6%, p < 0.01). Proportion of clinicians with reported comfort level of managing PE increased (82.4-90.8%, p = 0.07). Proportion of clinicians with self-reported comfort with explaining all available treatment modalities to patients increased (49.1-67.9%, p = 0.005). Proportions of responders who correctly identified the role of echocardiography in risk stratification of patients with known PE increased (73.9-84.4%, p = 0.07). Accurate clinical risk stratification of acute PE increased (60.2-73.8%, p = 0.03). The implementation of a targeted educational program at a tertiary care center increased awareness of PERT among house staff and faculty and improved physician's accuracy of clinical risk stratification and comfort level with management of acute PE.

Entities:  

Keywords:  Clinical decision making; Education; Pulmonary embolism; Pulmonary embolism response team; Thrombolysis

Mesh:

Year:  2020        PMID: 31396791     DOI: 10.1007/s11239-019-01927-5

Source DB:  PubMed          Journal:  J Thromb Thrombolysis        ISSN: 0929-5305            Impact factor:   2.300


  10 in total

1.  The implementation of a pulmonary embolism response team in the management of intermediate- or high-risk pulmonary embolism.

Authors:  Eleftherios S Xenos; George A Davis; Qiang He; Amanda Green; Susan S Smyth
Journal:  J Vasc Surg Venous Lymphat Disord       Date:  2019-03-29

Review 2.  Clinical review: inferior vena cava filters in the age of patient-centered outcomes.

Authors:  Stephen L Wang; Allen J Lloyd
Journal:  Ann Med       Date:  2013-11       Impact factor: 4.709

3.  The Massachusetts General Hospital Pulmonary Embolism Response Team (MGH PERT): creation of a multidisciplinary program to improve care of patients with massive and submassive pulmonary embolism.

Authors:  Tim Provias; David M Dudzinski; Michael R Jaff; Kenneth Rosenfield; Richard Channick; Joshua Baker; Ido Weinberg; Cameron Donaldson; Rajeev Narayan; Andrew N Rassi; Christopher Kabrhel
Journal:  Hosp Pract (1995)       Date:  2014-02

4.  Diversity in the Pulmonary Embolism Response Team Model: An Organizational Survey of the National PERT Consortium Members.

Authors:  Geoffrey D Barnes; Christopher Kabrhel; D Mark Courtney; Soophia Naydenov; Todd Wood; Rachel Rosovsky; Kenneth Rosenfield; Jay Giri
Journal:  Chest       Date:  2016-12       Impact factor: 9.410

5.  Antithrombotic Therapy for VTE Disease: CHEST Guideline and Expert Panel Report.

Authors:  Clive Kearon; Elie A Akl; Joseph Ornelas; Allen Blaivas; David Jimenez; Henri Bounameaux; Menno Huisman; Christopher S King; Timothy A Morris; Namita Sood; Scott M Stevens; Janine R E Vintch; Philip Wells; Scott C Woller; Lisa Moores
Journal:  Chest       Date:  2016-01-07       Impact factor: 9.410

6.  The impact of a multi-specialty team for high risk pulmonary embolism on resident and fellow education.

Authors:  Ayman Elbadawi; Colin Wright; Dhwani Patel; Yu Lin Chen; Justin Mazzillo; Pamela Cameron; Geoffrey D Barnes; Scott J Cameron
Journal:  Vasc Med       Date:  2018-05-22       Impact factor: 3.239

Review 7.  Risk Stratification of Patients With Acute Symptomatic Pulmonary Embolism Based on Presence or Absence of Lower Extremity DVT: Systematic Review and Meta-analysis.

Authors:  Cecilia Becattini; Alexander T Cohen; Giancarlo Agnelli; Luke Howard; Borja Castejón; Javier Trujillo-Santos; Manuel Monreal; Arnaud Perrier; Roger D Yusen; David Jiménez
Journal:  Chest       Date:  2016-01-06       Impact factor: 9.410

8.  Assessing the Impact of a Pulmonary Embolism Response Team and Treatment Protocol on Patients Presenting With Acute Pulmonary Embolism.

Authors:  Wei-Ying Jen; William Kristanto; Lynette Teo; Jason Phua; Hwee Seng Yip; Graeme MacLaren; Kristine Teoh; Tiong Beng Sim; Joshua Loh; Ching Ching Ong; Yen Lin Chee; Pipin Kojodjojo
Journal:  Heart Lung Circ       Date:  2019-03-12       Impact factor: 2.975

9.  Contemporary Management and Outcomes of Patients with Massive and Submassive Pulmonary Embolism.

Authors:  Eric Secemsky; Yuchiao Chang; C Charles Jain; Joshua A Beckman; Jay Giri; Michael R Jaff; Kenneth Rosenfield; Rachel Rosovsky; Christopher Kabrhel; Ido Weinberg
Journal:  Am J Med       Date:  2018-08-11       Impact factor: 4.965

Review 10.  Multidisciplinary approach to the management of pulmonary embolism patients: the pulmonary embolism response team (PERT).

Authors:  Christopher W Root; David M Dudzinski; Bishoy Zakhary; Oren A Friedman; Akhilesh K Sista; James M Horowitz
Journal:  J Multidiscip Healthc       Date:  2018-04-05
  10 in total
  3 in total

1.  Changes in Care for Acute Pulmonary Embolism Through A Multidisciplinary Pulmonary Embolism Response Team.

Authors:  Brett J Carroll; Sebastian E Beyer; Tyler Mehegan; Andrew Dicks; Abby Pribish; Andrew Locke; Anuradha Godishala; Kevin Soriano; Jaya Kanduri; Kelsey Sack; Inbar Raber; Cara Wiest; Isabel Balachandran; Mason Marcus; Louis Chu; Margaret M Hayes; Jeff L Weinstein; Kenneth A Bauer; Eric A Secemsky; Duane S Pinto
Journal:  Am J Med       Date:  2020-05-19       Impact factor: 4.965

2.  Pulmonary embolism response team (PERT) implementation and its clinical value across countries: a scoping review and meta-analysis.

Authors:  Lukas Hobohm; Ioannis T Farmakis; Karsten Keller; Barbara Scibior; Anna C Mavromanoli; Ingo Sagoschen; Thomas Münzel; Ingo Ahrens; Stavros Konstantinides
Journal:  Clin Res Cardiol       Date:  2022-08-17       Impact factor: 6.138

3.  Role of Pulmonary Embolism Response Team in patients with intermediate- and high-risk pulmonary embolism: a concise review and preliminary experience from China.

Authors:  Ying Liang; Shao-Ping Nie; Xiao Wang; Ashley Thomas; Elizabeth Thompson; Guan-Qi Zhao; Jing Han; Jing Wang; Mark J D Griffiths
Journal:  J Geriatr Cardiol       Date:  2020-08       Impact factor: 3.327

  3 in total

北京卡尤迪生物科技股份有限公司 © 2022-2023.