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January 1, 2014Hospital Practice

Implementation of a Mandated Venous Thromboembolism Clinical Order Set Improves Venous Thromboembolism Core Measures

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Why the study?

Does a physician-mandated VTE prophylaxis computerized order set improve appropriate prophylaxis and reduce hospital-acquired VTE in hospitalized patients?

Population

Hospitalized patients pre- and post-implementation of a mandatory VTE order set

Comparison

Physician-mandated VTE prophylaxis computerized… vs Baseline standard practice (pre-implementation)

Design

Cohort

Authors

LKLoren KhouryADAmish A. DangodaraJLJung‐Ah LeeSamsung Medical Center

Discussion

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Overview

Mandatory order set was associated with higher appropriate prophylaxis; leaves open whether it reduces hospital-acquired VTE.

Structured PICO

Does a physician-mandated VTE prophylaxis computerized order set improve appropriate prophylaxis and reduce hospital-acquired VTE in hospitalized patients?

P
Population
Hospitalized patients pre- and post-implementation of a mandatory VTE order set
I
Intervention
Physician-mandated VTE prophylaxis computerized order set
C
Comparator
Baseline standard practice (pre-implementation)
O
Outcome
Rates of hospital-acquired VTE and appropriate VTE prophylaxishard clinical

Implementation of a mandatory computerized VTE order set significantly improved appropriate prophylaxis rates, though reductions in hospital-acquired VTE were not statistically significant.

Cite This Study

Khoury et al. (2014) studied this question.

synapsesocial.com/papers/6a892762658c52aebb4d23c8https://doi.org/10.3810/hp.2014.12.1162
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Also Consider

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  1. 1Fatal pulmonary embolism in hospitalised medical patients.1997 · 135 citations
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  3. 3Duration of venous thromboembolism risk across a continuum in medically ill hospitalized patients2011 · 147 citations
  4. 4Lack of Thromboprophylaxis Across the Care Continuum in US Medical Patients2010 · 11 citations
  5. 5A Population-Based Perspective of the Hospital Incidence and Case-Fatality Rates of Deep Vein Thrombosis and Pulmonary Embolism1991 · 1,678 citations