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

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.

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Reference

  1. 1.

    Kearon C et al (2016) Antithrombotic therapy for VTE disease: CHEST Guideline and Expert Panel Report. Chest. https://doi.org/10.1016/j.chest.2015.11.026

  2. 2.

    Secemsky E et al (2018) Contemporary management and outcomes of patients with massive and submassive pulmonary embolism. Am J Med. https://doi.org/10.1016/j.amjmed.2018.07.035

  3. 3.

    Barnes GD et al (2016) Diversity in the pulmonary embolism response team model: an Organizational Survey of the National PERT Consortium Members. Chest. https://doi.org/10.1016/j.chest.2016.09.034

  4. 4.

    Provias T et al (2014) 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. Hosp Pract. https://doi.org/10.3810/hp.2014.02.1089

  5. 5.

    Root CW et al (2018) Multidisciplinary approach to the management of pulmonary embolism patients: the pulmonary embolism response team (PERT). J Multidis Healthcare. https://doi.org/10.2147/JMDH.S151196

  6. 6.

    Elbadawi A et al (2018) The impact of a multi-specialty team for high risk pulmonary embolism on resident and fellow education. Vasc Med (United Kingdom). https://doi.org/10.1177/1358863X18767753

  7. 7.

    SurveyMonkey: The World’s Most Popular Free Online Survey Tool. https://www.surveymonkey.com/. Accessed 12 Apr 2019

  8. 8.

    Xenos ES, Davis G, Green A, He Q, Smyth S (2018) The implementation of a pulmonary embolism response team in the management of pulmonary embolism. J Vasc Surg 67:e13–e14

  9. 9.

    Jen W-Y et al (2019) Assessing the impact of a Pulmonary Embolism Response Team and treatment protocol on patients presenting with acute pulmonary embolism. Hear. Lung Circ. https://doi.org/10.1016/J.HLC.2019.02.190

  10. 10.

    Wang SL, Lloyd AJ (2013) Clinical review: Inferior vena cava fi lters in the age of patient-centered outcomes. Ann Med. https://doi.org/10.3109/07853890.2013.832951

  11. 11.

    Becattini C et al (2016) Risk stratification of patients with acute symptomatic pulmonary embolism based on presence or absence of lower extremity DVT: Systematic review and meta-Analysis. Chest. https://doi.org/10.1378/chest.15-0808

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Correspondence to Yevgeniy Brailovsky.

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Brailovsky, Y., Kunchakarra, S., Lakhter, V. et al. Pulmonary embolism response team implementation improves awareness and education among the house staff and faculty. J Thromb Thrombolysis 49, 54–58 (2020) doi:10.1007/s11239-019-01927-5

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Keywords

  • Pulmonary embolism
  • Pulmonary embolism response team
  • Thrombolysis
  • Education
  • Clinical decision making