Move from findings to practical improvement planning for the Pulmonary Embolism Audit.
Use your baseline findings to plan improvement actions, PDSA cycles and re-audit. Start data collection
Improvement summary will populate when sufficient submissions are available.
Analysis will populate when sufficient submissions are available.
Consider people, process, environment, equipment/IT, documentation, communication, training, policy and workload.
What are you trying to improve, by how much, for whom, and by when?
- Use your baseline findings to plan improvement actions, PDSA cycles and re-audit.
PE improvement themes for local consideration
Recognition of suspected PE
Prompts to consider PE early in breathlessness, pleuritic pain and collapse presentations.
PE Wells documentation
Structured clerking fields for the PE Wells score and category.
D-dimer use
Align D-dimer requesting with the PE unlikely pathway and reduce inappropriate testing.
Imaging delays
Review CTPA turnaround, out-of-hours access and escalation for delayed imaging.
Interim anticoagulation
Ensure interim therapeutic anticoagulation is started where imaging is delayed and indicated.
Renal function and dosing
Check renal function before anticoagulant choice and dose, in line with local policy.
Bleeding risk
Document bleeding risk and contraindications before anticoagulation.
Confirmed PE risk stratification
Embed risk stratification into the confirmed PE pathway.
Ambulatory PE pathway
Increase appropriate use of the low-risk ambulatory PE pathway with clear follow-up.
Anticoagulation counselling
Standardise counselling on agent, duration, bleeding risk and safety-netting.
Discharge summary and follow-up
Include PE diagnosis or exclusion, anticoagulation plan and follow-up in the discharge summary.
Haemodynamic instability escalation
Clarify escalation to senior, critical care and the thrombolysis pathway.
Pharmacy and anticoagulation safety
Pharmacy review of anticoagulant choice and dose, particularly in renal impairment.
Weekend and out-of-hours variation
Compare pathway performance in and out of hours and address gaps.
Re-audit and sustainability
Plan repeat measurement and embed changes into routine practice.
Add local improvement actions here.
Add details of PDSA cycle or intervention here.
Changes that do not fit neatly into a PDSA cycle: name, date introduced, target group, lead and evidence of implementation.
What must continue, who owns it, and how will performance be monitored?
What worked well, what was difficult, what would be done differently?
Governance issue addressed, committee, escalation, action owner and evidence shared.
Your role, contribution to data collection, analysis, intervention design and dissemination, plus reflection.
Lazomis QIP supports quality improvement, audit and governance activity. It does not replace clinical judgement, professional responsibility, local policy or organisational governance processes.
Plan your re-audit