Inhospital venous thromboembolism (VTE) remains a major cause of morbidity and mortality in US hospitals and is known to be preventable. Despite an extremely high level of compliance with VTE prophylaxis guidelines at our institution, VTE events continue to occur. The multidisciplinary Anticoagulation Task Force was assembled to review each VTE event with the goal of further refining the distinction between preventable and nonpreventable VTE events and identifying opportunities for quality improvement.
To create an information technology (IT) solution to capture all VTE events, assist with the timely review of and generate a database of all VTE events for future analyses. Description: The Clinical Event Search (CES) tool is an automated program that audits the electronic medical record (EMR). Using natural language processing and pulling data from discrete fields within the EMR, the tool is capable of capturing all VTE events in realtime. Unique to this tool is the ability to capture relevant clinical data and display the data in a userfriendly manner. For each case, the tool captures and assembles: (1) patient data including demographics, admission diagnosis, location, service and procedures, as well as premorbid conditions and prehospital care, (2) laboratory data including hematocrit, platelets and coagulation studies, and (3) pharmacy data including both the method of VTE prophylaxis used, mechanical and chemoprophylaxis, but also the timing, frequency and consistency of the administration. These data are displayed through an interactive interface in a chronological manner that allows for efficient review of the entire hospital course from admission, to diagnosis of VTE, and beyond. Furthermore, the event and the associated relevant data are captured and stored establishing a comprehensive cohort of patients with inhospital VTE.
CES is an IT tool that electronically audits the EMR to capture all VTE events, retrieves and displays associated data in a userfriendly, chronological manner that allows for rapid and timely review of events, markedly improving the efficiency of the quality improvement process. Furthermore, the tool captures a retrospective cohort of patients with VTE events and associated clinical data to generate a database for realtime intervention analyses and future retrospective studies. This tool assists the Anticoagulation Task Force in maintaining a high level of institutional adherence to guideline standard and in probing deeper into the distinction between preventable and nonpreventable VTE.
To cite this abstract:Schleyer A, Robinson E, Cuschieri J, Jarman K, Middleton K, Taylor M, Zaros M, Goss R. Using an It Tool to Efficiently Identify Preventable and Nonpreventable Venous Thromboembolism. Abstract published at Hospital Medicine 2012, April 1-4, San Diego, Calif. Abstract 97724. Journal of Hospital Medicine. 2012; 7 (suppl 2). https://www.shmabstracts.com/abstract/using-an-it-tool-to-efficiently-identify-preventable-and-nonpreventable-venous-thromboembolism/. Accessed April 25, 2019.