An electronic prescribing system can ensure thromboprophylaxis is considered

Stachow, Ela; Berry, Michael N.; Johnston, Andrew M.

doi:10.7861/clinmedicine.11-6-633

Cited by 2 publications

(2 citation statements)

References 4 publications

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“…In terms of Oxygen prescription, electronic prescribing may be a tool that could be utilized. This has been shown to be effective in prompting the delivery of thromboprophylaxis . In a similar way, the addition of a prompt to Oxygen prescription on an electronic chart may lead to a sustained improvement in prescription rates.…”

Section: Discussionmentioning

confidence: 94%

Doctors learn new tricks, but do they remember them? Lack of effect of an educational intervention in improving Oxygen prescribing

et al. 2015

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Background and objective: The 'audit cycle' is a fundamental part of improving clinical performance. For this to be effective, improvements made must be sustained. We observed that the prescription of Oxygen is often poor. Our aim was to audit Oxygen prescription before and after an educational intervention, and then again 4 years on. We hypothesized that improvements made immediately after the intervention would not be sustained over a longer period of time. Conclusions: The rate of Oxygen prescription improves significantly after an educational intervention; however, this improvement is not sustained. This observation is likely reflected in a range of areas where the audit cycle is used to improve performance. It is important to be aware of this potential for regression to ensure that improvements are maintained over time.

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Section: Discussionmentioning

confidence: 94%

Doctors learn new tricks, but do they remember them? Lack of effect of an educational intervention in improving Oxygen prescribing

et al. 2015

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“…11 In one audit, LMWH prescription delays were partly due to the admitting doctor waiting to discuss the decision with a more senior colleague before prescribing. 12 In our study, VTE prophylaxis prescribing rates were low in both medical and CLD groups (Fig 1). An assessment of local factors affecting prescribing practice with multiple targeted interventions may be able to improve guideline compliance, such as a multidisciplinary educational approach and pharmacists reminding physicians.…”

Section: Discussionmentioning

confidence: 99%

Decision making in venous thromboembolism prophylaxis: Is LWMH being inappropriately withheld from patients admitted with chronic liver disease?

et al. 2015

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Although chronic liver disease (CLD) constitutes a signifi cant proportion of acute medical admissions, it is not known how CLD infl uences venous thromboembolism (VTE) prophylaxis decision making and low molecular weight heparin (LMWH) prescription. Furthermore, recent evidence suggests that VTE risk has been underestimated in CLD and that prophylactic LMWH is safe and may improve outcome in this patient group. We therefore evaluated VTE prophylaxis in patients with CLD and aimed to determine the factors contributing to decisions to prescribe LMWH. Prescription of LMWH was signifi cantly less likely in CLD patients than in general medical patients (29% vs 55%; p<0.01). Patients with CLD who were prescribed LMWH were more likely to have been admitted for a 'non-liver' reason than those that did not receive LMWH (19% vs 52%; p<0.01). These preliminary results show that many patients admitted with CLD, who may benefi t from LMWH prophylaxis, do not receive this therapy, because of perceived contraindications for which there may be little evidence. Decision making appears to be affected by whether an admission is 'liver' or 'non-liver' related. Prophylactic LMWH was safe in this small cohort. Further studies are warranted to further inform LMWH prescription in CLD.

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An electronic prescribing system can ensure thromboprophylaxis is considered

Cited by 2 publications

References 4 publications

Doctors learn new tricks, but do they remember them? Lack of effect of an educational intervention in improving Oxygen prescribing

Doctors learn new tricks, but do they remember them? Lack of effect of an educational intervention in improving Oxygen prescribing

Decision making in venous thromboembolism prophylaxis: Is LWMH being inappropriately withheld from patients admitted with chronic liver disease?

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