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:
- Submitting author
- E-mail contact information
- Tool Format -- paper-based or computer-based
- Tips on using the tool
- 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.