Please use this identifier to cite or link to this item: http://hdl.handle.net/11054/54
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dc.contributor.authorJanus, Edward D.en
dc.contributor.authorBassi, Anmolen
dc.contributor.authorJackson, Daviden
dc.contributor.authorNandurkar, Harshalen
dc.contributor.authorYates, Marken
dc.date.accessioned2012-10-24T04:51:40Zen
dc.date.available2012-10-24T04:51:40Zen
dc.date.issued2011en
dc.identifier.govdoc00040en
dc.identifier.issn0929-5305en
dc.identifier.urihttp://hdl.handle.net/11054/54en
dc.description.abstractVenous thromboembolism (VTE) is a major source of morbidity and mortality for both surgical and medical hospitalised patients. Despite the availability of guidelines, thromboprophylaxis continues to be underutilised. This study aims to assess the effectiveness of an electronic VTE risk assessment tool (elVis) on VTE prophylaxis in hospitalised patients. A national, multicentre, prospective clinical audit collected information on VTE prophylaxis and risk factors for VTE in 2,400 hospitalised patients (comprising of equal numbers of medical, surgical and orthopaedic patients). After auditing the standard care use of VTE prophylaxis in 1,200 consecutive patients (audit 1, A1), the elVis system was installed and a second audit (A2) of VTE prophylaxis was performed in a further 1,200 patients. The use of the electronic VTE risk assessment tool was low with 20.5% of patients assessed with elVis. The intervention, elVis plus accompanying education, improved the use VTE prophylaxis to guidelines by 5.0% amongst all patients and by 10.7% amongst high risk patients (adjusted odds ratio (AOR) 1.27 and 1.65 respectively). The use of elVis in A2 varied between hospitals and specialties and this resulted in marked heterogeneity. Despite this heterogeneity, patients assessed with elVis had 1.44 times higher AOR of being treated to guidelines compared to those who were not (P < 0.05). The use of elVis accompanied by staff education improved VTE prophylaxis, especially amongst high risk patients. To optimise the effectiveness and support enduring practice change electronic systems, such as elVis, need to be completely integrated within the treatment pathway.en
dc.description.provenanceApproved for entry into archive by Gemma Siemensma (gemmas@bhs.org.au) on 2012-10-24T04:51:40Z (GMT) No. of bitstreams: 0en
dc.description.provenanceSubmitted by Gemma Siemensma (gemmas@bhs.org.au) on 2012-10-24T04:49:41ZNo. of bitstreams: 0en
dc.description.provenanceMade available in DSpace on 2012-10-24T04:51:40Z (GMT). No. of bitstreams: 0 Previous issue date: 2011en
dc.publisherKluwer Academic Publishersen
dc.relation.urihttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC3170471/en
dc.titleThromboprophylaxis use in medical and surgical inpatients and the impact of an electronic risk assessment tool as part of a multi-factorial intervention: a report on behalf of the elVis study investigators.en
dc.typeJournal Articleen
dc.type.specifiedArticleen
dc.bibliographicCitation.titleJournal of Thrombosis and Thrombolysisen
dc.bibliographicCitation.volume32en
dc.bibliographicCitation.issue3en
dc.bibliographicCitation.stpage279en
dc.bibliographicCitation.endpage287en
dc.publisher.placeDordrecht, Netherlandsen
dc.subject.healththesaurusCLINICAL TRIALen
dc.subject.healththesaurusCOMPARATIVE STUDYen
dc.subject.healththesaurusADULTen
dc.subject.healththesaurusAGEDen
dc.subject.healththesaurusAGED 80 AND OVERen
dc.subject.healththesaurusFEMALEen
dc.subject.healththesaurusGUIDELINE ADHERENCEen
dc.subject.healththesaurusHUMANSen
dc.subject.healththesaurusMALEen
dc.subject.healththesaurusMEDICAL RECORDS SYSTEMS, COMPUTERIZEDen
dc.subject.healththesaurusMIDDLE AGEDen
dc.subject.healththesaurusPRACTICE GUIDELINES AS TOPICen
dc.subject.healththesaurusPROSPECTIVE STUDIESen
dc.subject.healththesaurusRISK ASSESSMENT - METHODSen
dc.subject.healththesaurusRISK FACTORSen
dc.subject.healththesaurusSOFTWAREen
dc.subject.healththesaurusVENOUS THROMBOEMBOLISM - MORTALITYen
dc.subject.healththesaurusVENOUS THROMBOEMBOLISM - PREVENTION AND CONTROLen
dc.date.issuedbrowse2011-01-01en
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