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Table of Contents

Page history last edited by Jerry Osheroff 11 years, 6 months ago

KEY LESSONS: Clinical Decision Support for Venous Thromboembolism (VTE) Prevention


[Follows outlines of new CDS implementer's guide to help support scaling to other topics; most of the key guidance is currently in the Examine Workflow and Optimize CDS Interventions headers, but be sure to review Consider CDS Basics]


Click here for case studies of CDS applied successfully to VTE prevention



  • Consider CDS Basics

  • Establish the Foundation

    • Engage all pertinent stakeholders and establish governance

    • Select and prioritize targets; align with organizational imperatives

    • Establish baselines

  • Examine the Workflow


  • Optimize CDS Interventions for Specific Targets: VTE


[In this section are the specific considerations for successfully incorporating CDS into various workflow steps for improving appropriate VTE prophylaxis. Note that this VTE-specific information is layered onto more generic backbone tables that include general CDS considerations for each workflow step. Please help us flesh out the CDS 'implementation pearls' specific to VTE! (Enhancements to generic backbone welcome too!)]


  • Measure Effects and Refine CDS Program

    • Examine both intended and unintended effects and continuously enhance the CDS program

    • Link assessment to organizational priorities and reporting

    • Donabedian framework

  • Manage Knowledge Assets and Processes

    • Approach proactively and systematically








Comments (2)

Joel Shoolin, D.O. said

at 12:58 pm on Dec 24, 2009

A recent artilce by Selby and Geerts in "Hematology" questions the use of risk assessment tools and suggests standardization of chemoprophylaxis (one size fits almost all). Multiple ways to improve the numbers, including CDS via EMRs is discussed. The best I can tell you on the citation is: "Prevention of venous thromboembolism: consensus, controversies, and challenges", Rita Selby and William Geerts, American Society of Hematology, Hematology, 2009, pgs. 286-292.

Jerry Osheroff said

at 12:40 pm on Jan 8, 2010

CMS plans to test electronic submission of VTE quality measure info from EHRs: http://www.cms.hhs.gov/HospitalQualityInits/15_HospitalInpatientEHRTesting.asp

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