Implementation of an acute venous thromboembolism clinical pathway reduces healthcare utilization and mitigates health disparities
| Autor: | Toby C. Trujillo, Gregory J. Misky, Elaina Thompson, Todd Carlson, Kristen E. Nordenholz |
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| Rok vydání: | 2014 |
| Předmět: |
medicine.medical_specialty
Leadership and Management business.industry Health Policy General Medicine Emergency department Disease Assessment and Diagnosis medicine.disease Health equity Pulmonary embolism Hospital medicine Venous thrombosis Clinical pathway Emergency medicine Medicine Fundamentals and skills Transitional care business Care Planning |
| Zdroj: | Journal of Hospital Medicine. 9:430-435 |
| ISSN: | 1553-5592 |
| Popis: | BACKGROUND Acute venous thromboembolism (VTE) is prevalent, expensive, and deadly. Published data at our institution identified significant VTE care variation based on payer source. We developed a VTE clinical pathway to standardize care, decrease hospital utilization, provide education, and mitigate disparities. METHODS Target population for our interdisciplinary pathway was acute medical VTE patients. The intervention included order sets, system-wide education, follow-up phone calls, and coordinated posthospital care. Study data (n = 241) were compared to historical data (n = 234), evaluating outcomes of hospital admission, length of stay (LOS), and reutilization, stratified by payer source. RESULTS A total of 241 patients entered the VTE clinical care pathway: 107 with deep venous thrombosis (44.4%) and 134 with a pulmonary embolism (55.6%). Within the pathway, uninsured VTE patients were admitted at a lower rate than insured patients (65.9 vs 79.1%; P = 0.032). LOS decreased from 4.4 to 3.1 days (P |
| Databáze: | OpenAIRE |
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