Difference between revisions of "Impact of electronic reminders on venous thromboprophylaxis after admissions and transfers"

From Clinfowiki
Jump to: navigation, search
Line 1: Line 1:
−
“Venous thromboembolism (VTE) is a disease that includes both deep vein thrombosis (DVT) and pulmonary embolism (PE)” where thrombosis is the presence of a blood clot. “It is the third most common cardiovascular illness after acute coronary syndrome and stroke.” When overlooked, it can result to a long-term hospitalization or tragic death. <ref name = "www.clevelandclinicmeded"> Disease Management/Cardiology/Venous-thromboembolism http://www.clevelandclinicmeded.com/medicalpubs/diseasemanagement/cardiology/venous-thromboembolism/</ref>
+
'''Venous thromboembolism (VTE)''' is a disease that includes both deep vein thrombosis (DVT) and pulmonary embolism (PE)” where thrombosis is the presence of a blood clot. "It is the third most common cardiovascular illness after acute coronary syndrome and stroke." <ref name = "www.clevelandclinicmeded"> Disease Management/Cardiology/Venous-thromboembolism http://www.clevelandclinicmeded.com/medicalpubs/diseasemanagement/cardiology/venous-thromboembolism/</ref> When overlooked, it can result to a long-term hospitalization or tragic death. <ref name = "www.clevelandclinicmeded"></ref>
−
 
+
  
 
== Objective ==
 
== Objective ==
 +
 
The purpose of this study was “to analyze the effect of electronic reminders on thromboprophylaxis rates” <ref name = "P E Beeler, E Eschmann, et al"> P E Beeler, E Eschmann, et al. Impact of Electronic Reminders on Venous Thromboprophylaxis after Admissions and Transfers. Jornal of the American Medical Informatics Assoc. 2014. Volume 21, Issue e2: Pp e297 - 303. http://jamia.oxfordjournals.org/content/21/e2/e297/</ref> in nursing units with admitted and transferred patients. Like most of the illnesses, VTE is preventable through the use of certain prophylaxis, it is hoped that the electronic reminders help ensure that appropriate prophylaxis are given/administered on time.  
 
The purpose of this study was “to analyze the effect of electronic reminders on thromboprophylaxis rates” <ref name = "P E Beeler, E Eschmann, et al"> P E Beeler, E Eschmann, et al. Impact of Electronic Reminders on Venous Thromboprophylaxis after Admissions and Transfers. Jornal of the American Medical Informatics Assoc. 2014. Volume 21, Issue e2: Pp e297 - 303. http://jamia.oxfordjournals.org/content/21/e2/e297/</ref> in nursing units with admitted and transferred patients. Like most of the illnesses, VTE is preventable through the use of certain prophylaxis, it is hoped that the electronic reminders help ensure that appropriate prophylaxis are given/administered on time.  
  

Revision as of 23:10, 10 February 2015

Venous thromboembolism (VTE) is a disease that includes both deep vein thrombosis (DVT) and pulmonary embolism (PE)” where thrombosis is the presence of a blood clot. "It is the third most common cardiovascular illness after acute coronary syndrome and stroke." [1] When overlooked, it can result to a long-term hospitalization or tragic death. [1]

Objective

The purpose of this study was “to analyze the effect of electronic reminders on thromboprophylaxis rates” [2] in nursing units with admitted and transferred patients. Like most of the illnesses, VTE is preventable through the use of certain prophylaxis, it is hoped that the electronic reminders help ensure that appropriate prophylaxis are given/administered on time.


Methods

The authors cover two study periods involving six departments of a university hospital, three of which were randomly selected to display reminders for the second period intervention group. After 6h post admission or transfer, the logic of the CDS is set to check for prophylaxis orders within 0-30 h of patient’s arrival.

Results

The results show significant impact on prophylaxis orders placed from 6-24 hrs and increased of 5.3% and 4.1% prophylaxis given to patients on admissions and transfers respectively. “Postponing prophylaxis checks to 6 h after admissions and transfers reduced the number of reminders by 62% and thereby minimized the risk of alert fatigue." [2]

Comments

Patient Safety is always the number one priority in the hospital/clinic setting. I like this study because it proves that one of the EHR system’s significant functionality to ensure quality patient care is through the use of CDS Rules, which on this case helps promote awareness of VTE Prevention and avoid potential long-term complications or mortality. Credit to the authors for clear descriptions on its methodologies and results.

References

  1. ↑ 1.0 1.1 Disease Management/Cardiology/Venous-thromboembolism http://www.clevelandclinicmeded.com/medicalpubs/diseasemanagement/cardiology/venous-thromboembolism/
  2. ↑ 2.0 2.1 P E Beeler, E Eschmann, et al. Impact of Electronic Reminders on Venous Thromboprophylaxis after Admissions and Transfers. Jornal of the American Medical Informatics Assoc. 2014. Volume 21, Issue e2: Pp e297 - 303. http://jamia.oxfordjournals.org/content/21/e2/e297/
Retrieved from "http://clinfowiki.org/wiki/index.php?title=Impact_of_electronic_reminders_on_venous_thromboprophylaxis_after_admissions_and_transfers&oldid=19821"