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Quality Improvement  
Exchange Information Implementation Guide Professional Development Resource Room Project Team Main Resource Room Home Venous Thromboembolism Resource Room

Risk Assessment

A regular risk assessment for VTE - linked to a menu of appropriate VTE prophylaxis options - is pivotal to all systematic efforts to reduce rates of hospital acquired VTE.

Emory Healthcare Standardized VTE Risk Assessment Form

The Emory Healthcare Standardized VTE Risk Assessment form is a paper based document used for all adult inpatients admitted, transferred between units, or post-op at Emory Hospitals. This VTE risk assessment form can be used for every non-orthopedic patient admitted or transferred to any service from any area including post-op. Any service has the freedom to staple this as another page in pre-printed order sets, but is foremost encouraged to copy/paste the check box options into revisions of existing order sets while pasting the risk stratification/decision support on the back of the form. Formulary: one LMWH (Enoxaparin).

View the Emory Healthcare VTE Risk Assessment Form

University of California-San Diego (UCSD) VTE Risk Assessment Form

The UCSD VTE Risk Assessment form for all adult inpatients admitted, transferred between units, or post-op is available here for download in paper based format but used at UCSD in CPOE format. At UCSD this form is used for every patient admitted or transferred to any service from any area including post-op. When completing admission, transfer, or post-op orders (and every 4 days) in CPOE, the provider receives a prompt to complete an order for VTE prophylaxis. Formulary: one LMWH (Enoxaparin)

View the UCSD VTE Risk Assessment Form

Special Population VTE Risk Assessment

The Special Population VTE Risk Assessment  is a sample risk assessment tool that can be used to describe a specialized treatment approach for a specific population while allowing for a more standardized approach for all other patients.

View the Special Population VTE Risk Assessment

The following VTE Risk Assessments have been submitted to the Society of Hospital Medicine’s HQPS committee as part of an ongoing effort to compile a variety of quality improvement tools used by our membership to enhance patient safety and quality of inpatient care. SHM members are encouraged to review and adapt these risk assessments to meet the quality improvement needs of local systems.

Click the source institution below to view the cover sheet. Then click the link at the top of the cover sheet to view the associated VTE Risk Assessment:

Carilion Medical Center
University of California, San Francisco Medical Center

Each submission is accompanied by a cover sheet that lists the following:

  1. Title
  2. Purpose
  3. Submitting author
  4. Institution
  5. E-mail contact information
  6. Tool Format -- paper-based or computer-based
  7. Tips on using the tool
  8. Important pitfalls

This information will help guide you through these risk assessments to better identify those that may be best suited fro your specific hospital setting. In addition, we want to highlight that QI tools by themselves do not lead to improvement. Interventions must be embedded in care processes within a particular care setting, and that the development of any strategy to improve care must be a partnership between the specific intervention and the people and work processes affected.

With this brief background, we hope that you find the QI tools useful in your efforts to improve inpatient care.




Venous Thromboembolism Resource Room Project Team
This resource room is sponsored in part by a non-educational sponsorship from sanofi-aventis US, LLC

The Venous Thromboembolism (VTE) Resource Room is an online resource for visitors to the Society of Hospital Medicine’s website. All content and links have been reviewed by the VTE Resource Room Project Team, however the Society of Hospital Medicine does not exercise any editorial control over content associated with the external links that have been made available via this website.

The contributions of Dr. Maynard and his UCSD collaborators in the development of the SHM VTE Prevention Resource Room and the VTE Prevention Implementation Guide were supported by grant number 1U18HS015826-01 from the Agency for Healthcare Research and Quality (AHRQ). The contents of this product are solely the responsibility of Dr. Maynard and the SHM VTE Resource Room team, and do not necessarily represent the official view of or imply endorsement by AHRQ or the U.S. Department of Health and Human Services.

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