Quality statement 5All patients managed via an outpatient PE pathway should receive verbal and written information containing details of potential complications of the disease process, its treatment and a point of contact.
RationaleIn view of the nature of outpatient management, patients should be supplied with verbal and written information containing information regarding the diagnosis of PE, its treatment and symptoms suggestive of complications, together with a point of contact.
Quality measureStructure:
  • Evidence of local arrangements to ensure that patients managed via an outpatient pathway receive adequate verbal and written information.


Process:
  • The proportion of patients with suspected or diagnosed acute PE managed via an outpatient pathway who receive verbal and written information prior to going home.


Numerator 1: The number of patients with suspected or confirmed acute PE managed via an outpatient pathway in whom there is clear evidence of the provision of verbal and written information including potential complications of the disease, treatment and a focal contact point.
Denominator 1: The number of patients with suspected or confirmed acute PE managed via an outpatient pathway.
Description of what the quality statement means for each audienceService providers:
  • Should ensure that written information regarding the condition, potential complications, symptoms of recurrence, treatment and contact information is available.


Healthcare professionals:
  • Should ensure that all patients with suspected or confirmed acute PE who are eligible for management within an outpatient pathway are provided with specific verbal and written information prior to going home.


Commissioners:
  • Should ensure that they commission services which can demonstrate provision of adequate written information.


People who are managed on an outpatient pathway for suspected or confirmed PE:
  • Should receive verbal and written information regarding the disease, complications of the disease process and treatments and be provided with a clear point of contact for clinical queries and concerns.

Relevant existing indicators/data sources
  • BTS Guideline for the Initial Outpatient Management of Pulmonary Embolism (2018).2

  • Royal College of Physicians of Edinburgh and Society of Acute Medicine. Standards for Ambulatory Emergency Care (2019).5

Source references
  • BTS Guideline for the Initial Outpatient Management of Pulmonary Embolism (2018).2

DefinitionsOther information: Example of patient information leaflets—see online supplementary appendix 4: King’s College Hospital NHS Foundation Trust, Royal Free London NHS Foundation Trust and Sheffield Teaching Hospitals NHS Foundation Trust.