Improving compliance with venous thromboembolism (VTE) risk stratification processes in perioperative patients requires a team approach and a formidable clinical learning environment (CLE). Using interprofessional (IP) teamwork and quality improvement (QI) training within an inpatient surgical setting, Surgery Residents (SR), and Acute Care Nurse Practitioner (ACNP) students can collaborate and become team leaders in clinical improvements.
While participating in an individually-tailored and time-variable IP QI training program, the SR and ACNP students learned and immediately applied new knowledge and skills. Through observational assessments and frontline team discussions, the SR and ACNPs gathered data about the realities of the clinical practice and process. Through IP QI simulation activities, the SR and ACNPs were able to address self-identified opportunities for improvement and practice the nuances of team leadership during a Root Cause Analysis.
Through this supportive program, the learners collaboratively identified a gap in perioperative VTE prevention clinical processes and developed a streamlined strategy to improve the VTE risk stratification process.
Both quantitative and qualitative assessments were performed to evaluate the training program and the IP QI project. Standardized survey instruments were used to quantitatively assess learners' perceived growth. The qualitative analysis was performed using an adaptation of the Interprofessional CLE Checklist. The Checklist assesses factors under three domains: Leadership and Teachers, Clinical Site Readiness, and Process. Adapting this checklist, CLE interview questions were created to assess the SR and ACNP perceptions of the CLE surrounding their VTE QI project.
This project provided insights into optimizing the clinical learning environment and contributed to enhancements in IP practice of risk stratifying perioperative patients to enhance VTE prophylaxis.
The activities reported here were supported (in part) by the Josiah Macy Jr. Foundation #P19-15
In accordance with the Accreditation Council for Continuing Medical Education’s Standards for Commercial Support, adopted by the Joint Accreditors for Interprofessional Continuing Education, the National Center for Interprofessional Practice and Education has a conflict of interest policy that requires that all individuals involved in the development of activity content disclose their relevant financial relationships with commercial interests. All potential conflicts of interest that arise based upon these financial relationships are resolved prior to the educational activity.
Fernando Ona, Samuel Lowe, Steven Bingaman, Bethany Robertson, Amisha Metha, Jessica Star, Meredith Lora, Shirly Kooran, Beth Quatrara, Beth Turrentine, Danny Harris, Lisa Daniels, Kathy Lee Bishop, Jennifer Sharp, Caroline Coleman, Douglas Ander, Chase Corvin, Anastasia Pozdnyakova, Kelli Yukon, Allison Norenberg, Kimisha Cassidy, Kevin Roggin, Ross Milner, Vineet Arora
declare no vested interest in or affiliation with any commercial interest offering financial support for this interprofessional continuing education activity, or any affiliation with a commercial interest whose philosophy could potentially bias their presentation.
In support of improving patient care, this activity is planned and implemented by The National Center for Interprofessional Practice and Education. The National Center for Interprofessional Practice and Education is accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.
As a Jointly Accredited Provider, the National Center is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. The National Center maintains responsibility for this course. Social workers completing this course receive continuing education credits.
This activity was planned by and for the healthcare team, and learners will receive Interprofessional Continuing Education (IPCE) credit for learning and change.
- Physicians: This activity will be designated for CME AMA PRA Category 1 Credit(s)TM through ACCME.
- Physician Assistants: NCCPA accepts AMA PRA Category 1 Credit(s)™ from organizations accredited by ACCME or a recognized state medical society.
- Nurses: This activity will be designated for CNE nursing contact hours through ANCC.
- Pharmacists and Pharmacy Technicians: This activity will be designated for CPE contact hours (CEUs) through ACPE.
- Social Workers: This activity will be designated for social work continuing education credits through ASWB.
- All health professionals: This activity was planned by and for the healthcare team, and learners will receive Interprofessional Continuing Education (IPCE) credit for learning and change.