Quality improvement approaches to heparin-induced thrombocytopenia: a scoping review

Electronic alerts to improve management of heparin-induced thrombocytopenia

“…Although other electronic clinical decision tools to aid in the diagnosis and management of HIT have been reported, they have had limited success and have focused on diagnostic testing, not clinical management, alerts. Studies evaluating electronic systems to help identify potential cases of HIT have found that while more HIT testing is performed, inappropriate HIT testing patterns often result [ [8] , [9] , [10] , [11] , [12] ]. One study of a computer-based order entry intervention to calculate the 4T score before ordering tests for HIT found a nonsignificant trend in a reduction of inappropriate testing of those with low 4T scores, unlike our interruptive alert 2, which resulted in a significant 38.7% decrease in inappropriate testing [ 13 ].…”