Care pathways in thrombosis management: the INNOVATE peer-to-peer educational initiative

Figures & data

Figure 1 Challenges in integrating non-vitamin K antagonist oral anticoagulants into clinical practice.

Table 1 Objectives and core skills of the members of the multidisciplinary VTE management team at King’s College Hospital

Multidisciplinary team members	Objectives in managing VTE	Core skills and knowledge
Hematologist	• Develop diagnostic pathways for VTE • Provide appropriate anticoagulant therapy • Manage bleeding risk and treatment duration • Prevent secondary complications	• Specialist knowledge of (anti)coagulation and thrombosis • Overview of latest clinical data on anticoagulant therapy
Pulmonologist	• Risk-stratify patients with PE • Prevent secondary complications	• Expertise in the diagnosis and management of PE
DVT nurse	• Manage patients with DVT according to established clinical standards and protocols	• Protocol-driven consistency of approach • Holistic approach to patient care and education
Pharmacist	• Ensure correct dosing of anticoagulants • Measure drug levels when needed • Avoid drug interactions	• Comprehensive knowledge of drug licenses, dosing, drug interactions, and contraindications
Vascular surgeon	• Provide surgical intervention for treating VTE, where appropriate	• Specialized in techniques such as thrombolytic therapy and surgical embolectomy
Diagnostician	• Confirm diagnosis of VTE	• Expertise in diagnostic scanning and interpretation of results

Abbreviations: DVT, deep vein thrombosis; PE, pulmonary embolism; VTE, venous thromboembolism.

Figure S1 The King’s College Hospital patient pathway for VTE.

Abbreviations: CT, computed tomography; DVT, deep vein thrombosis; GP, general practitioner; PE, pulmonary embolism; VTE, venous thromboembolism.

Figure S2 INNOVATE program: global reach to date. INNOVATE meetings have been held in the cities indicated. The blue shading represents the countries (n=44) with delegates who have attended an INNOVATE meeting.

Abbreviation: INNOVATE, INternational Network fOr Venous and Arterial Thrombosis Excellence in practice.