INTERVENTION TO OPTIMIZE VENOUS THROMBOEMBOLISM PREVENTION IN A COMMUNITY TEACHING HOSPITAL
(Abstract release date: 05/19/16)
EHA Library. Goldberg U. 06/09/16; 133104; E1555
Dr. Uri Goldberg
Contributions
Contributions
Abstract
Abstract: E1555
Type: Eposter Presentation
Background
According to the U.S. Surgeon General, venous thromboembolism (VTE) affects 350,000 to 600,000 Americans each year and is implicated in over 100,000 deaths (The Surgeon General's Call to Action to Prevent Deep Vein Thrombosis and Pulmonary Embolism. Rockville, MD: Office of the Surgeon General, US; 2008.). Noting that only half of eligible patients in our inpatient medical service were receiving VTE prophylaxis (VTEP), our hospital instituted an intervention to improve performance on this critical measure.
Aims
To evaluate the efficacy of an electronic medical record (EMR)-based intervention to optimize VTEP among patients admitted to our institution.
Methods
In February of 2011, our hospital’s information technology department instituted an automated prompt in the EMR system designed to increase the number of VTEP-eligible patients receiving VTEP. The prompt guides resident physicians in the process of admitting patients to a “hard stop” screen entreating them to identify VTE risk factors in the patient and to choose from a list of evidence-based VTEP therapies (including but not limited to heparin, sequential compression devices, and an option to not order VTEP if contraindicated). Concurrently, an educational presentation was offered to residents explaining the intervention and re-educating them on evidence-based VTEP guidelines. The computerized prompt remains in use today.
Results
Data covering 964 patients admitted in the month prior to the implementation of the VTEP prompt and 673 patients from after implementation were collected and analyzed. Prior to the implementation of the VTEP prompt, 49.0% of 964 patients were found to have received VTEP therapy. Following prompt implementation, that number rose 16.9% to 65.9% of patients. Data is continually collected and assessed semiannually.
Conclusion
As advances in medical technology continue to improve patient care, optimization of medication utilization becomes increasingly important. With underuse of critical medications raising the risk of iatrogenic illness, it remains the responsibility of the patient care team to engage in best practices to minimize these risks. Our intervention has demonstrated that VTEP utilization may be optimized by the use of a low-cost, easily implementable, and easily replicable intervention that effectively leverages the EMR system.
Session topic: E-poster
Keyword(s): Clinical outcome, Prevention, Pulmonary embolism, Thromboembolic events
Type: Eposter Presentation
Background
According to the U.S. Surgeon General, venous thromboembolism (VTE) affects 350,000 to 600,000 Americans each year and is implicated in over 100,000 deaths (The Surgeon General's Call to Action to Prevent Deep Vein Thrombosis and Pulmonary Embolism. Rockville, MD: Office of the Surgeon General, US; 2008.). Noting that only half of eligible patients in our inpatient medical service were receiving VTE prophylaxis (VTEP), our hospital instituted an intervention to improve performance on this critical measure.
Aims
To evaluate the efficacy of an electronic medical record (EMR)-based intervention to optimize VTEP among patients admitted to our institution.
Methods
In February of 2011, our hospital’s information technology department instituted an automated prompt in the EMR system designed to increase the number of VTEP-eligible patients receiving VTEP. The prompt guides resident physicians in the process of admitting patients to a “hard stop” screen entreating them to identify VTE risk factors in the patient and to choose from a list of evidence-based VTEP therapies (including but not limited to heparin, sequential compression devices, and an option to not order VTEP if contraindicated). Concurrently, an educational presentation was offered to residents explaining the intervention and re-educating them on evidence-based VTEP guidelines. The computerized prompt remains in use today.
Results
Data covering 964 patients admitted in the month prior to the implementation of the VTEP prompt and 673 patients from after implementation were collected and analyzed. Prior to the implementation of the VTEP prompt, 49.0% of 964 patients were found to have received VTEP therapy. Following prompt implementation, that number rose 16.9% to 65.9% of patients. Data is continually collected and assessed semiannually.
Conclusion
As advances in medical technology continue to improve patient care, optimization of medication utilization becomes increasingly important. With underuse of critical medications raising the risk of iatrogenic illness, it remains the responsibility of the patient care team to engage in best practices to minimize these risks. Our intervention has demonstrated that VTEP utilization may be optimized by the use of a low-cost, easily implementable, and easily replicable intervention that effectively leverages the EMR system.
Session topic: E-poster
Keyword(s): Clinical outcome, Prevention, Pulmonary embolism, Thromboembolic events
Abstract: E1555
Type: Eposter Presentation
Background
According to the U.S. Surgeon General, venous thromboembolism (VTE) affects 350,000 to 600,000 Americans each year and is implicated in over 100,000 deaths (The Surgeon General's Call to Action to Prevent Deep Vein Thrombosis and Pulmonary Embolism. Rockville, MD: Office of the Surgeon General, US; 2008.). Noting that only half of eligible patients in our inpatient medical service were receiving VTE prophylaxis (VTEP), our hospital instituted an intervention to improve performance on this critical measure.
Aims
To evaluate the efficacy of an electronic medical record (EMR)-based intervention to optimize VTEP among patients admitted to our institution.
Methods
In February of 2011, our hospital’s information technology department instituted an automated prompt in the EMR system designed to increase the number of VTEP-eligible patients receiving VTEP. The prompt guides resident physicians in the process of admitting patients to a “hard stop” screen entreating them to identify VTE risk factors in the patient and to choose from a list of evidence-based VTEP therapies (including but not limited to heparin, sequential compression devices, and an option to not order VTEP if contraindicated). Concurrently, an educational presentation was offered to residents explaining the intervention and re-educating them on evidence-based VTEP guidelines. The computerized prompt remains in use today.
Results
Data covering 964 patients admitted in the month prior to the implementation of the VTEP prompt and 673 patients from after implementation were collected and analyzed. Prior to the implementation of the VTEP prompt, 49.0% of 964 patients were found to have received VTEP therapy. Following prompt implementation, that number rose 16.9% to 65.9% of patients. Data is continually collected and assessed semiannually.
Conclusion
As advances in medical technology continue to improve patient care, optimization of medication utilization becomes increasingly important. With underuse of critical medications raising the risk of iatrogenic illness, it remains the responsibility of the patient care team to engage in best practices to minimize these risks. Our intervention has demonstrated that VTEP utilization may be optimized by the use of a low-cost, easily implementable, and easily replicable intervention that effectively leverages the EMR system.
Session topic: E-poster
Keyword(s): Clinical outcome, Prevention, Pulmonary embolism, Thromboembolic events
Type: Eposter Presentation
Background
According to the U.S. Surgeon General, venous thromboembolism (VTE) affects 350,000 to 600,000 Americans each year and is implicated in over 100,000 deaths (The Surgeon General's Call to Action to Prevent Deep Vein Thrombosis and Pulmonary Embolism. Rockville, MD: Office of the Surgeon General, US; 2008.). Noting that only half of eligible patients in our inpatient medical service were receiving VTE prophylaxis (VTEP), our hospital instituted an intervention to improve performance on this critical measure.
Aims
To evaluate the efficacy of an electronic medical record (EMR)-based intervention to optimize VTEP among patients admitted to our institution.
Methods
In February of 2011, our hospital’s information technology department instituted an automated prompt in the EMR system designed to increase the number of VTEP-eligible patients receiving VTEP. The prompt guides resident physicians in the process of admitting patients to a “hard stop” screen entreating them to identify VTE risk factors in the patient and to choose from a list of evidence-based VTEP therapies (including but not limited to heparin, sequential compression devices, and an option to not order VTEP if contraindicated). Concurrently, an educational presentation was offered to residents explaining the intervention and re-educating them on evidence-based VTEP guidelines. The computerized prompt remains in use today.
Results
Data covering 964 patients admitted in the month prior to the implementation of the VTEP prompt and 673 patients from after implementation were collected and analyzed. Prior to the implementation of the VTEP prompt, 49.0% of 964 patients were found to have received VTEP therapy. Following prompt implementation, that number rose 16.9% to 65.9% of patients. Data is continually collected and assessed semiannually.
Conclusion
As advances in medical technology continue to improve patient care, optimization of medication utilization becomes increasingly important. With underuse of critical medications raising the risk of iatrogenic illness, it remains the responsibility of the patient care team to engage in best practices to minimize these risks. Our intervention has demonstrated that VTEP utilization may be optimized by the use of a low-cost, easily implementable, and easily replicable intervention that effectively leverages the EMR system.
Session topic: E-poster
Keyword(s): Clinical outcome, Prevention, Pulmonary embolism, Thromboembolic events
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