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VTE Prophylaxis Order Form
Key Advantages Using this Tool:
- Train staff regarding VTE risk factors
- Train staff regarding appropriate interventions for VTE prophylaxis
- Establish a mechanism for addressing VTE prophylaxis in all adult patients admitted to our hospital
Tips on Using this Tool:
- Educate nursing staff on risk factors and exclusion criteria for VTE prophylaxis prior to implementation
- Educate/notify physician staff prior to implementation
- Utilize medical records and pharmacy to audit use of anticoagulant agents for VTE prophylaxis as a means of auditing use
Important Pitfalls:
- Verification of compliance
- Ensuring acceptance among all providers
Resources Used to Develop Tool:
- William H. Geerts, John A. Heit, G. Patrick Clagett, Graham F. Pineo, Clifford W. Colwell, Frederick A. Anderson, Jr., and H. Brownell Wheeler, Prevention of Venous Thromboembolism, Chest 2001: 119: 132S-175S.
- Coon, WW (1984) VTE: prevalence, risk factors, and prevention. Clin Chest Med 5, 391-401
- Carter, CJ (1994) The natural history and epidemiology of venous thrombosis. Prog Cardiovasc Dis 36,423-438
- Gallus, AS, Salzman, EW, Hirsh, J (1994) Prevention of VTE. Colman, RW Hirsh, J Marder, VJet al eds. Hemostasis and thrombosis: basic principles and clinical practice 3rd ed. ,1331-1345 JB Lippincott Philadelphia, PA.
- Hansson, P-O, Eriksson, H, Welin, L, et al (1999) Smoking and abdominal obesity. Risk factors for VTE among middle-aged men: "The Study of Men Born in 1913." Arch Intern Med 159,1886-1890
- Rosendaal, FR (1999) Risk factors for venous thrombotic disease. Thromb Haemost 82,610-619
- Grady, D, Wenger, NK, Herrington, D, et al, (2000) Postmenopausal hormone therapy increases risk for venous thromboembolic disease: the Heart and Estrogen/progestin Replacement Study Ann Intern Med 132,689-696
- Local resources: Carillion Medical Center, Committee on Anticoagulation, Performance Improvement Committees of Departments of Medicine and Surgery
View the Carillion Medical Center Venous Thromboembolic (VTE) 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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