Format

Send to

Choose Destination
See comment in PubMed Commons below
Proc AMIA Symp. 1998:573-6.

A computerized reminder for prophylaxis of deep vein thrombosis in surgical patients.

Author information

  • 1Department of Medical Informatics, University of Utah, USA.

Abstract

OBJECTIVE:

To measure the effect of a computerized reminder system on the rate of deep vein thrombosis (DVT) prophylaxis in surgical patients.

DESIGN:

A prospective trial to measure change in compliance compared to historic controls.

MEASUREMENTS:

LDS Hospital surgeons developed local consensus as to which procedures should have DVT prophylaxis. The historic rate of prophylaxis for the procedures was measured through a database search of patient records. A computerized reminder system was then implemented which utilized an expert knowledge base and a time drive mechanism to flag surgical cases for DVT prophylaxis. For eligible patients, a DVT reminder appeared on the operating room schedule; surgical staff used this as a guide to apply prophylaxis. During the 3 month trial the rate of DVT prophylaxis was remeasured and compared to the pre-intervention rate.

RESULTS:

The pre-intervention rate of DVT prophylaxis over a 3 month period was 85.2% (785 of 921 eligible cases). For the 3 months following the introduction of the computerized reminder, compliance with DVT prophylaxis increased to 99.3% (1084 of 1092 eligible cases). The difference between the historic controls and the study subjects was highly significant (p < 0.001).

CONCLUSION:

A computerized reminder is an effective method of increasing the rate of DVT prophylaxis in surgical patients.

PMID:
9929284
PMCID:
PMC2232289
[PubMed - indexed for MEDLINE]
Free PMC Article
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for PubMed Central
    Loading ...
    Write to the Help Desk