SHM Converge Scientific Abstract ePoster Gallery-Reducing Inappropriate Use of VTE Prophylaxis Through an Electronic Order Set

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This project aimed to reduce inappropriate pharmacologic venous thromboembolism (VTE) prophylaxis in hospitalized patients by improving clinician risk assessment at the point of ordering. Because national guidelines recommend VTE prophylaxis for acutely ill patients at high thrombosis risk but advise against it in low-risk patients, the team introduced an EMR-integrated order set that required documentation of VTE risk before prophylaxis could be ordered. A best practice alert (BPA) was later added to reinforce use of the order set.<br /><br />After implementation, documentation of VTE risk assessment increased from 20% to 56% in the first post-intervention period. The combined intervention also led to a 12.4% decrease in VTE prophylaxis orders per patient day. These findings suggest that embedding structured decision support into the electronic medical record can improve guideline-concordant prescribing and reduce unnecessary prophylaxis use.<br /><br />Overall, the study concludes that an electronic order set requiring VTE risk assessment, especially when paired with a BPA, can meaningfully decrease inappropriate VTE prophylaxis in a hospital system.

Asset Subtitle

Garrett Yoon

Meta Tag

Author List Andrew S. Dunn, Daniel Alaiev, Garrett Yoon, Hyung Cho, Ian Fagan, Jennifer Ahn, Mona Krouss, Nessreen Mestari

Category Innovations

Concept Venous Thromboembolism Prophylaxis

Concept Thromboembolism Risk Assessment

Concept Thrombosis Risk

Concept National Guidelines

Concept Order Set

Distinguished Non-Finalist

Presenter Organization NYU School of Medicine

Presenting Author Garrett Yoon

Track Value in Hospital Medicine

Keywords

venous thromboembolism prophylaxis

VTE risk assessment

electronic medical record

order set

best practice alert

hospitalized patients

guideline-concordant prescribing

inappropriate prophylaxis

clinical decision support

patient safety

Venous Thromboembolism Prophylaxis

Thromboembolism Risk Assessment

Thrombosis Risk

National Guidelines

Order Set