SHM Converge Scientific Abstract ePoster Gallery-Reduction of Hospital-Acquired Venous Thromboembolism Through Document Standardization

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The project addressed poor documentation of venous thromboembolism (VTE) prophylaxis orders in hospitalized patients, a problem that can contribute to hospital-acquired VTE. Since manual note checking and copy-pasted notes often led to inaccurate records, the team created a standardized Epic SmartText that automatically populated key clinical information, including VTE prophylaxis, code status, diet order, health care proxy, and emergency contacts. This SmartText was embedded into a standardized note template for use on the Bellevue medicine service.<br /><br />The intervention was evaluated by comparing note accuracy and hospital-onset VTE rates before and after implementation. Before the SmartText, note accuracy was 68%. After six months of use, accuracy improved to 92%, a 24% increase. In parallel, the hospital-acquired VTE rate decreased from 0.311 events per 1000 patient days to 0.225 events per 1000 patient days, representing a 28% reduction.<br /><br />The findings suggest that standardized documentation with practical SmartTexts is an easy-to-implement quality improvement strategy that can improve documentation accuracy and may also reduce hospital-acquired VTE. The authors plan to expand the SmartText and note template across the NYC Health + Hospitals system and consider similar standardized documentation approaches for other hospital-acquired conditions.

Asset Subtitle

Rebecca Kim

Meta Tag

Author List Ian Fagan, Juan Cerezo, Rebecca Kim, Shreya Patel

Category Research

Concept Venous Thromboembolism Prophylaxis

Concept Hospital-Acquired Venous Thromboembolism

Concept Patient Safety

Concept Quality of Care

Concept Clinical Documentation

Distinguished Non-Finalist

Presenter Organization NYU Langone Health

Presenting Author Rebecca Kim

Track Patient Safety

Keywords

venous thromboembolism

VTE prophylaxis

documentation accuracy

Epic SmartText

standardized note template

hospital-acquired VTE

quality improvement

patient safety

Bellevue medicine service

hospitalized patients

Venous Thromboembolism Prophylaxis

Hospital-Acquired Venous Thromboembolism

Patient Safety

Quality of Care

Clinical Documentation