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Adult Venous Thromboembolism Prophylaxis Order Form
Key Advantages Using this Tool:
- Basic and alternative modalities discussed
- Risks and benefits assessment documented
- Resource for help included on form
Tips on Using this Tool:
- We place these forms in the charts when they are built
Important Pitfalls:
- First version was very busy - newer version less so
- Still may be too difficult for routine use
Resources Used to Develop Tool:
- PharmD’s (above) with expertise in anticoagulation.
- Comprehensive Hemostasis and Antithrombotic Service
- Motykie GD et al. Risk factor assessment in the management of patients with suspected deep venous thrombosis. Int Angiol. 2000;19:47-51.
- Caprini JA et al. Clinical assessment of venous thromboembolic risk in surgical patients. Semin Thromb Hemost. 1991;17 Suppl 3:304-312.
View the Adult Venous Thromboembolism Prophylaxis Order Form
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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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