Prospective monitoring improves outcomes of primary total hip replacement: a cohort study

Streubel, Philipp N.; Pachón, Marcela; Kerguelén, Carlos A; Navas, José María Pedrajas; Portocarrero, Julio; Pesántez, Rodrigo; Zayed, Gamal; Carrillo, G. Gutiérrez; Llinás, Adolfo

doi:10.1186/1754-9493-3-7

Cited by 5 publications

(1 citation statement)

References 11 publications

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“…Streubel et al used prospective audits and bimonthly local VTE prevention guideline adherence rate reporting for patients undergoing primary total hip replacement surgery. They compared a historic control period to prospective audits and bimonthly presentations regarding VTE prophylaxis protocol adherence [28]. Compared with a historic control cohort, guideline adherence failure was lower (1.6% vs. 15%, p = 0.002) and VTE rates were similar (p = 0.37).…”

Section: Multifaceted Interventionsmentioning

confidence: 99%

System-Wide Thromboprophylaxis Interventions for Hospitalized Patients at Risk of Venous Thromboembolism: Focus on Cross-Platform Clinical Decision Support

Tsaftaridis,

Goldin,

Spyropoulos

2024

JCM

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Thromboprophylaxis of hospitalized patients at risk of venous thromboembolism (VTE) presents challenges owing to patient heterogeneity and lack of adoption of evidence-based methods. Intuitive practices for thromboprophylaxis have resulted in many patients being inappropriately prophylaxed. We conducted a narrative review summarizing system-wide thromboprophylaxis interventions in hospitalized patients. Multiple interventions for thromboprophylaxis have been tested, including multifaceted approaches such as national VTE prevention programs with audits, pre-printed order entry, passive alerts (either human or electronic), and more recently, the use of active clinical decision support (CDS) tools incorporated into electronic health records (EHRs). Multifaceted health-system and order entry interventions have shown mixed results in their ability to increase appropriate thromboprophylaxis and reduce VTE unless mandated through a national VTE prevention program, though the latter approach is potentially costly and effort- and time-dependent. Studies utilizing passive human or electronic alerts have also shown mixed results in increasing appropriate thromboprophylaxis and reducing VTE. Recently, a universal cloud-based and EHR-agnostic CDS VTE tool incorporating a validated VTE risk score revealed high adoption and effectiveness in increasing appropriate thromboprophylaxis and reducing major thromboembolism. Active CDS tools hold promise in improving appropriate thromboprophylaxis, especially with further refinement and widespread implementation within various EHRs and clinical workflows.

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Section: Multifaceted Interventionsmentioning

confidence: 99%