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Innovative Approaches to Increase Deep Vein Thrombosis Prophylaxis Rate Resulting in a Decrease in Hospital-acquired Deep Vein Thrombosis at a Tertiary-care Teaching Hospital by Renee P. Bullock-Palmer; Steven Weiss; Charles Hyman is a Medicine article available to read on EtoBox.

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## Abstract ## BACKGROUND AND OBJECTIVE: Hospital‐acquired venous thromboembolic events (VTEs) in medically ill patients account for a significant percentage of in‐hospital mortality. Unfractionated heparin and low‐molecular‐weight heparin have been shown to be effective in the prevention of VTEs. However, use of these medications for thromboprophylaxis remains suboptimal. The objective of this article is to report the impact of a continuous quality improvement project on adherence with DVT prophylaxis guidelines and on the subsequent incidence of hospital‐acquired DVT in medical patients at a teaching hospital between 2002 and 2005. ## METHODS: In November 2002, Kings County Hospital Center Department of Medicine embarked on a project to increase the rate of thromboprophylaxis use. Quality improvement strategies included an active, multifaceted, layered combination of provider education, provider reminders with decision support, and audit with feedback. ## RESULTS: The DVT prophylaxis rate on the general medicine house‐staff service increased from a baseline of 63% in 2002 to 96% in 2005. The number of hospital‐acquired DVTs decreased from a baseline of 14 in 2002 to 1 in 2005. Th

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Author

Renee P. Bullock-Palmer; Steven Weiss; Charles Hyman

Publisher

John Wiley and Sons; Frontline Medical Communications, Inc.; John Wiley & Sons Inc.; Wiley (ISSN 1553-5592)

Published

2008

Language

EN

Field

Medicine (Health Sciences)