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- W2327402502 abstract "Tracking clinical outcomes for patients receiving a temporary or permanent Inferior Vena Cava (IVC) filter has become a national safety concern. Some institutions have set up IVC filter clinics to monitor patients with retrievable filters as a mechanism to improve retrieval rates. Our large patient volume and lack of readily available resources to allocate to a dedicated clinic prompted the idea to develop a Define, Measure, Analyze, Improve and Control (DMAIC) process to increase our retrieval rates. Patients undergoing IVC filter placement and attempted retrieval were identified using our Radiology Information System. A database for tracking indications and outcomes was created in 2011 to determine our baseline retrieval rate without the presence of a monitoring system. In 2012, patients with a temporary filter not retrieved within one month of placement received a letter with our recommendations for filter retrieval. If after two months post placement, the filter had not been retrieved, another letter was sent to the primary care physician and the patient. A comparison between the 2 groups was made to test the efficacy of the system. 678 IVC filters were placed in 2011 and 2012. Retrievable filters accounted for 384 of 678 (56.6%), which was further split into 175 and 209 in 2011 and 2012, respectively. Attempted retrieval of IVC filters in 2011 and 2012 were 36 and 63 or 20.6% and 30.1%, respectively. This demonstrates an increase in retrieval rate of approximately 9.5%, which was found to be significant (p=0.033). Mean time to filter retrieval attempt was 89.46 and 132.22 days in 2011 and 2012 respectively (p=0.053). Our tracking system significantly increased the rate of retrieval of retrievable IVC filters. It also reduced the time-to-retrieval however; this measure only approached statistical significance. Further work and analysis need to be done to identify other ways to increase retrieval rates." @default.
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- W2327402502 date "2014-03-01" @default.
- W2327402502 modified "2023-09-26" @default.
- W2327402502 title "Improving IVC filter retrieval: a quality assessment" @default.
- W2327402502 doi "https://doi.org/10.1016/j.jvir.2013.12.281" @default.
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