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Other Tools
SHM Hospital-Acquired VTE Incidence Calculator
This calculator can be used to estimate the incidence of hospital-acquired VTE at your hospital, and the proportion that are potentially preventable.
View the SHM Hospital-Acquired VTE Incidence Calculator
Emory University Hospital Chart Audit Form
This chart audit form from Emory University Hospital courtesy of Jason Stein, MD, is in paper based format and can be used for all inpatients. This form is used for data entry and VTE audit assessment. Personnel fills this out while looking at a chart (active patient on floor or discharged patient with a chart in medical records); use of digits makes this a ‘self-coding’ form capable of being scanned into a database; the last item is key but other information on the form is often useful.
View the Emory University Hospital Chart Audit Form
Audit Forms and Case Reporting Tools
- Case Report Form (UCSD)
- Chart Audit Form (UCSD)
- UCSD Key Tables (risk factors, contraindications, prophylaxis recommendations, to use in combination with UCSD case report and chart audit forms)
- Chart Audit Form (Emory)
- SCIP VTE-1 (SCIP VTE Measure #1: Surgery Patients with Recommended Venous Thromboembolism Prophylaxis Ordered)
- SCIP VTE-2 (Surgery Patients Who Received Appropriate Venous Thromboembolism Prophylaxis Within 24 Hours Prior to Surgery to 24 Hours After Surgery)
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Disclaimer
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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