| Development and implementation of a program to assess medical patients' need for venous thromboembolism prophylaxis. | |
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MedLine Citation:
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PMID: 18769004 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: The development and implementation of a program to assess medical patients' need for venous thromboembolism (VTE) prophylaxis are described. SUMMARY: The pharmacy services, medicine, and information services departments at Hartford Hospital collaborated to institute a program to improve VTE prophylaxis in medical patients. After baseline VTE prophylaxis compliance was assessed, the departments developed an intervention consisting of a message to be displayed to providers using the institution's computerized prescriber-order-entry (CPOE) system as a reminder to assess the current patient for VTE risk factors and the need for VTE prophylaxis. The message was displayed when a patient met predefined criteria for VTE risk factors. The message would not continue to be displayed once either mechanical or pharmacologic VTE prophylaxis was an active order on the patient's medication profile. Extensive education about the program was provided to hospital staff, pharmacists, physicians, nurse practitioners, physician assistants, and nurses. The program was implemented in March 2007 on a pilot medical floor. To measure the impact of the program, a retrospective chart review was conducted using the risk-assessment tool developed. The VTE prophylaxis compliance rate post-implementation was 93%, compared with 49% preimplementation of the program ( p < 0.001). Before the program, only 25% of patients with a contraindication to pharmacologic therapy received mechanical prophylaxis, compared with 100% after program implementation. CONCLUSION: Use of message alerts through a CPOE system and an interdisciplinary team approach to assess patients' risk for VTE appeared to improve the use of VTE prophylaxis in medical patients. |
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Authors:
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Diana M Sobieraj |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists Volume: 65 ISSN: 1535-2900 ISO Abbreviation: Am J Health Syst Pharm Publication Date: 2008 Sep |
Date Detail:
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Created Date: 2008-09-04 Completed Date: 2008-11-10 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9503023 Medline TA: Am J Health Syst Pharm Country: United States |
Other Details:
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Languages: eng Pagination: 1755-60 Citation Subset: IM |
Affiliation:
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Department of Pharmacy Practice, School of Pharmacy, University of Connecticut, CT 06269, USA. sobierd@chc1.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Connecticut Decision Support Systems, Clinical Drug Therapy, Computer-Assisted Guideline Adherence* Hospitalization Hospitals, Teaching Humans Medical Order Entry Systems / organization & administration*, utilization Patient Care Team Pharmacy Service, Hospital / organization & administration* Program Development* Program Evaluation Retrospective Studies Risk Assessment / methods Risk Factors Thromboembolism / epidemiology, etiology, prevention & control* Venous Thrombosis / epidemiology, etiology, prevention & control* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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