| Autor: |
Elliott R. Haut, Oluwafemi P. Owodunni, Jiangxia Wang, Dauryne L. Shaffer, Deborah B. Hobson, Gayane Yenokyan, Peggy S. Kraus, Norma E. Farrow, Joseph K. Canner, Katherine L. Florecki, Kristen L.W. Webster, Christine G. Holzmueller, Jonathan K. Aboagye, Victor O. Popoola, Mujan Varasteh Kia, Peter J. Pronovost, Michael B. Streiff, Brandyn D. Lau |
| Jazyk: |
angličtina |
| Rok vydání: |
2022 |
| Předmět: |
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| Zdroj: |
Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease, Vol 11, Iss 18 (2022) |
| Druh dokumentu: |
article |
| ISSN: |
2047-9980 |
| DOI: |
10.1161/JAHA.122.027119 |
| Popis: |
Background Many hospitalized patients are not administered prescribed doses of pharmacologic venous thromboembolism prophylaxis. Methods and Results In this cluster‐randomized controlled trial, all adult non–intensive care units (10 medical, 6 surgical) in 1 academic hospital were randomized to either a real‐time, electronic alert–triggered, patient‐centered education bundle intervention or nurse feedback intervention to evaluate their effectiveness for reducing nonadministration of venous thromboembolism prophylaxis. Primary outcome was the proportion of nonadministered doses of prescribed pharmacologic prophylaxis. Secondary outcomes were proportions of nonadministered doses stratified by nonadministration reasons (patient refusal, other). To test our primary hypothesis that both interventions would reduce nonadministration, we compared outcomes pre‐ versus postintervention within each cohort. Secondary hypotheses were tested comparing the effectiveness between cohorts. Of 11 098 patient visits, overall dose nonadministration declined significantly after the interventions (13.4% versus 9.2%; odds ratio [OR], 0.64 [95% CI, 0.57–0.71]). Nonadministration decreased significantly (P |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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