| Autor: |
Gaylis FD; University of California San Diego, La Jolla, CA, USA. gaylisf@aol.com, Van SJ, Daneshvar MA, Gaylis GM, Gaylis JB, Sheela RB, Stern EJ, Hanson PB, Sur RL |
| Jazyk: |
angličtina |
| Zdroj: |
American journal of medical quality : the official journal of the American College of Medical Quality [Am J Med Qual] 2010 Nov-Dec; Vol. 25 (6), pp. 449-56. Date of Electronic Publication: 2010 Aug 30. |
| DOI: |
10.1177/1062860610369824 |
| Abstrakt: |
The objective was to determine if a standardized process of care--namely, standardized evidence-based medical orders (SEBMOs)--improves physician compliance with venous thromboembolism (VTE) prophylaxis. A total of 61 physicians received information about VTE prophylaxis after introduction of an admission SEBMO. Hospitalists received enhanced presentations about SEBMOs and their value in VTE prevention; specialists did not. Data were analyzed for 2 cohorts of 249 at-risk patients: one cohort was admitted with SEBMOs and the other with handwritten orders. VTE prophylaxis was ordered for 70% (173 of 249) of the SEBMO cohort compared with 22% (55 of 249) of patients whose physicians handwrote orders (relative risk ratio = 2.97; 95% confidence interval = 2.33-3.79; P < .0001). Specialists, who did not receive the enhanced education, were more likely to use handwritten orders and less likely to comply with prophylaxis standards. Standardized orders promote VTE prophylaxis more than handwritten orders. More rigorous education is required to promote compliance with evidence-based standards of medical practice. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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