Difference between revisions of "Improving Hospital Venous Thromboembolism Prophylaxis with Electronic Decision Support"
(Created page with "This is a review of the 2013 article by Bhalla et al. <ref name ="bhalla 2013">Bhalla, R., Berger, M. A., Reissman, S. H., Yongue, B. G., Adelman, J. S., Jacobs, L. G., … K...") |
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== Result == | == Result == | ||
| + | During the observation period, there were significant increases in overall VTE prophylaxis utilization on the medicine service, from 62% to 82%. On the medicine service, incidence of VTE dropped from 0.65% to 0.42% after implementation, this was statistically significant. Bleeding events, a potential complication of prophylaxis, increased from 2.9% to 4.1% on the medicince service. | ||
| + | == Conclusion == | ||
| − | + | Use of a CDS system increased compliance with VTE prophylaxis in this large academic center. VTE events were decreased after implementation of the system, and bleeding events were slightly increased, an expected finding with increased utilization of blood thinners. | |
| − | + | ||
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== Comments == | == Comments == | ||
| − | + | VTE is one of the most common, and most preventable sources of morbidity and death in the hospital setting. Utilization of CDS to maximize prevention strategies has the potential to make a massive impact in patient safety and should be aggressively implemented. | |
== References == | == References == | ||
Revision as of 20:55, 29 September 2015
This is a review of the 2013 article by Bhalla et al. [1]
Background
Complications of venous thromboembolism are a major source of morbidity in hospital inpatients. Methods of prevention are well described, but underutilized. The authors seek to evaluate the impact of a CDS system in encouraging proper VTE prophylaxis ordering.
Methods
The authors tracked inpatients at a large academic center. VTE prophylaxis ordering, and VTE events were tracked over separate 6 months periods prior to, and after implementation of the system
Result
During the observation period, there were significant increases in overall VTE prophylaxis utilization on the medicine service, from 62% to 82%. On the medicine service, incidence of VTE dropped from 0.65% to 0.42% after implementation, this was statistically significant. Bleeding events, a potential complication of prophylaxis, increased from 2.9% to 4.1% on the medicince service.
Conclusion
Use of a CDS system increased compliance with VTE prophylaxis in this large academic center. VTE events were decreased after implementation of the system, and bleeding events were slightly increased, an expected finding with increased utilization of blood thinners.
Comments
VTE is one of the most common, and most preventable sources of morbidity and death in the hospital setting. Utilization of CDS to maximize prevention strategies has the potential to make a massive impact in patient safety and should be aggressively implemented.
References
- ↑ Bhalla, R., Berger, M. A., Reissman, S. H., Yongue, B. G., Adelman, J. S., Jacobs, L. G., … Kalkut, G. (2013). Improving hospital venous thromboembolism prophylaxis with electronic decision support. Journal of Hospital Medicine, 8(3), 115–120. http://doi.org/10.1002/jhm.1993
