Doctors typically prescribe IPC devices alongside chemical measures. Using a risk assessment, they determine if one or both are appropriate.
Current Trauma Reports notes that IPC devices, alone, reduce risk of VTE by 50 to 60% compared to no intervention. Yet, patient resistance can interfere with this measure. Meanwhile, The American Journal of Surgery reports that nurses see refusal as the single greatest barrier to compliance.
An extra step that empowers nurses
UK Healthcare isn't the only hospital embracing a patient refusal escalation process. In another case, a hospital that serves a population at heightened risk for VTE and other complications began to notice IPC protocol improvement opportunity in VTE cases analyzed retrospectively. They also noticed compliance for proper IPC placement was much lower than expected.
As a result, the hospital conducted a multi-modal prophylaxis pilot program in 2011. Its results showed the potent effect of improving compliance, including a significant decrease in hospital VTE rate, which translated into 87 fewer annual cases of VTE and significant savings.
Examples like this show the success of not only focusing on IPC adoption but also formalizing nurses' requests for assistance in overcoming patient objections through an escalation process.