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Development and implementation of venous thromboembolism stewardship across a hospital network

Chong, J, Curtain, C ORCID: 0000-0001-5029-7541, Gad, F, Passam, F, Soo, G, Levy, R, Dunkley, S, Wong Doo, N, Cunich, M, Burke, R and Chen, V 2021 , 'Development and implementation of venous thromboembolism stewardship across a hospital network' , International Journal of Medical Informatics, vol. 155 , pp. 1-9 , doi: 10.1016/j.ijmedinf.2021.104575.

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Abstract

Background:Venous thromboembolism (VTE) is a leading cause of preventable death in hospital. Ensuring all hospitalized patients are assessed for VTE risk and given appropriate prophylaxis can reduce the burden of VTE on patients and the healthcare system. This is the first study to explore the effectiveness of a VTE stewardship program using electronic clinical decision support (eCDS) to provide oversight of hospital initiatives to prevent VTE.Aim:To determine if a VTE stewardship program can increase risk-appropriate VTE prophylaxis, VTE risk assessment using eCDS, any documented risk assessment and risk assessment within 24 h of admission, plus reduce the incidence of hospital acquired VTE (HA-VTE).Methods:Education, daily medication chart auditing, weekly clinician performance feedback, health promotion and gamification were deployed over 6 months by two multidisciplinary VTE stewardship teams across four hospitals. Service impact was assessed through cross-sectional audits of electronic medical records every 3 months and review of HA-VTE events pre- and post-intervention. Implementation costs were calculated.Results:A total of 1622 patients were audited in separate cohorts at baseline, 3, 6 and 9 months. There was significant improvement in the prescription of appropriate prophylaxis (78%, 83%, 84%, and 88%, p = 0.004), VTE risk assessment using the eCDS tool (20%, 50%, 81% and 87%, p

Item Type: Article
Authors/Creators:Chong, J and Curtain, C and Gad, F and Passam, F and Soo, G and Levy, R and Dunkley, S and Wong Doo, N and Cunich, M and Burke, R and Chen, V
Keywords: decision support systems, clinical pharmacists, quality improvement, risk assessment, venous thromboembolism
Journal or Publication Title: International Journal of Medical Informatics
Publisher: Elsevier Sci Ireland Ltd
ISSN: 1386-5056
DOI / ID Number: 10.1016/j.ijmedinf.2021.104575
Copyright Information:

© 2021 Elsevier B.V.

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