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
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Consider CDS Basics
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Establish the Foundation
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Examine the Workflow
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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!)]
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Leverage deployments/goals
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Think beyond CPOE/EHR in the acute setting; consider patient portal
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Utilize workflow analysis to satisfy CDS 5 rights and avoid alert fatigue
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Deploy CDS for Maximum Acceptance and Value
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Measure Effects and Refine CDS Program
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Manage Knowledge Assets and Processes
- Recent Collaboration Discussion with IHI/SHM
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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