Taking into account the seriousness of the problem of deep vein thrombosis which originates from Pulmonary embolism, it is necessary to emphasize that it is the most preventable cause of hospital death. Zamula (989) states the following: pharmacologic methods to prevent VTE are safe, effective, cost-effective, and advocated by authoritative guidelines. Yet, despite the reality that hospitalized medical and surgical patients routinely have multiple risk factors for VTE, making the risk for VTE nearly universal among inpatients, large prospective studies continue to demonstrate that these preventive methods are significantly underutilized. The elaboration of the strategy leads to the works by the Agency for Healthcare Research and Quality, which call thromboprophylaxis against VTE the number one patient safety practice. The American Public Health Association, in its turn, has argued that the disconnect between evidence and execution as it relates to DVT prevention amounts to a public health crisis. (Voda, Ashton ,2006). Unfortunately, any strategy has not been recognized as effective sustainable, and widely applicable for the treatment centers for improving the prevalence of VTE prophylaxis. Monreal (2004) arguing on the matters of strate
gy effectiveness argues the following: the prophylaxis of VTE syndrome is evolving rapidly, as experience with local attempts and the Society of Hospital Medicines Venous Thrombo Embolism Prevention collaborative are authorizing the risk evaluation approaches and implementation strategies which are represented in the programs for VTE treatment and nursing education. Anyway, one thing is obvious: to implement effective protocols which would minimize the incidence of hospital-acquired VTE, redesign is required in both care delivery and presentation tracking. (Kennedy, Polivka, Bininger, 995).
It is claimed that the ideas of the structural changes for the educational program implementation should be originated by a local management team, which would also elaborate the ways of successful management of the project. It is worth mentioning that the member of this team should be highly experienced as frontline caregivers or complementary insights. The team members (according to Imperato and Waisman, 2002) are also obliged to know the evidence grounding, local influence, or insight into care delivery. He also stated that hospitalists are the most desired candidates for such teams, which are appearing in the increasing amount of hospital systems.