Key result
A real-time, targeted, patient-centered education bundle significantly reduced the nonadministration of VTE prophylaxis in hospitalized patients (OR 0.57; 95% CI 0.48-0.67; P<0.001 for interaction).
Why the study?
Many prescribed doses of venous thromboembolism prophylaxis are not administered to hospitalized patients, primarily owing to patient refusal.
Does a real-time patient-centered education bundle reduce nonadministration of VTE prophylaxis in hospitalized patients?
Population
19 652 patient visits where at least 1 dose of VTE prophylaxis was prescribed across 16 hospital units
Comparison
Patient-centered education bundle after a missed dose vs no intervention
Design
Nonrandomized controlled preintervention-postintervention comparison trial
Authors
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May support education bundles to reduce VTE nonadministration; leaves open need for RCTs to confirm benefit.
Does a real-time patient-centered education bundle reduce nonadministration of VTE prophylaxis in hospitalized patients?
Odds Ratio: 0.57 (95% CI 0.48–0.67)
Absolute Event Rate: 5.6% vs 13.3%
p-value: p=<0.001
A targeted, real-time patient-centered education bundle significantly reduces the nonadministration of pharmacologic VTE prophylaxis in hospitalized patients.
Haut et al. (2018) studied Venous thromboembolism prophylaxis (n=19,652). Real-time, targeted, patient-centered education bundle vs. No intervention (control units) was evaluated on Conditional odds of nonadministration of doses of VTE prophylaxis (OR 0.57, 95% CI 0.48-0.67, p=<0.001). A real-time, targeted, patient-centered education bundle significantly reduced the nonadministration of VTE prophylaxis in hospitalized patients (OR 0.57; 95% CI 0.48-0.67; P<0.001 for interaction).
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