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Mariana de Mascarenhas

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Everything posted by Mariana de Mascarenhas

  1. Community Post
    Apologies I did not reply on time. Our HAT definition is: any new episode of VTE diagnosed during hospitalisation or within 90 days of discharge following an inpatient stay of at least 24 hours or a day case surgical procedure or an ambulatory lower limb injury with immobilisation. Then the VTE must be diagnosed >24h after admission. If diagnosed in the first 24h or if there were high suspicion that the patient already had symptoms on admission - then is not hospital acquired. I attach our HAT investigation template with our traffic light system Green - not potentially preventable Yellow: potentially preventable Red: potentially preventable for consideration for a PSII learning response You can find out criteria to determine if its a green/yellow/red in the HAT form attached Thank you Sue HAT form revised PSIRF.docx
  2. Community Post
    Hello Sue Since March 2022 I could only find 2 HATs reported Patient admitted with Pancreatitis and gallstones developed extensive left arm DVT and bilateral PEs - it was due to 4 peripheral cannulas (not PICC lines) and recent pregnancy see quote from incident report "Recent Lap Cholecystectomy (3/52 ago) in SMH. Had 4 canula in left arm, says one was left in for 6 days and when taken out was very hard and painful" DVT left arm: C5 ASIA A, chest infection, admitted to ITU and the national spinal cord injury centre. The investigation report does not mention lines but being in ICU is likely patient had lines, do they use PICC lines in ICU? maybe just central lines? In terms of VTE prevention - which is what only my role covers, we are not doing anything specifically for patients with lines to prevent VTE other than what we do for all other patients Not very helpful, sorry! I can look further into these cases if you want, but due to time constraints I will wait to hearing from you if you need more information Thank you so much for all your hard work!

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