Journal of Vascular Surgery
Volume 51, Issue 3 , Pages 648-654 , March 2010

Prevention of thromboembolic events in surgical patients through the creation and implementation of a computerized risk assessment program

  • Sarah Jane Novis, BA

      Affiliations

    • Division of Vascular Surgery, Northwestern University Feinberg School of Medicine, Chicago, Ill
    • ,
  • George E. Havelka, MD

      Affiliations

    • Division of Vascular Surgery, Northwestern University Feinberg School of Medicine, Chicago, Ill
    • ,
  • Denise Ostrowski, RN

      Affiliations

    • Jesse Brown Veterans Affairs Medical Center, Chicago, Ill
    • ,
  • Betsy Levin, MA

      Affiliations

    • Jesse Brown Veterans Affairs Medical Center, Chicago, Ill
    • ,
  • Laurie Blum-Eisa, RN

      Affiliations

    • Jesse Brown Veterans Affairs Medical Center, Chicago, Ill
    • ,
  • Jay B. Prystowsky, MD

      Affiliations

    • Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, Ill
    • Jesse Brown Veterans Affairs Medical Center, Chicago, Ill
    • ,
  • Melina R. Kibbe, MD

      Affiliations

    • Division of Vascular Surgery, Northwestern University Feinberg School of Medicine, Chicago, Ill
    • Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, Ill
    • Jesse Brown Veterans Affairs Medical Center, Chicago, Ill
    • Corresponding Author InformationReprint requests: Melina R. Kibbe, MD, Division of Vascular Surgery, Northwestern University, 676 N. St. Clair St., #650, Chicago, IL 60611

Received 21 July 2009 ,Accepted 31 August 2009.

References 

  1. Geerts WH, Bergqvist D, Pineo GF, Heit JA, Samama CM, Lassen MR, et al. Prevention of venous thromboembolism: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th Edition). Chest. 2008;133:381S–453S
  2. Lloyd-Jones D, Adams R, Carnethon M, De Simone G, Ferguson TB, Flegal K, et al. Heart disease and stroke statistics–2009 update: a report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Circulation. 2009;119:e21–e181
  3. Geerts WH, Pineo GF, Heit JA, Bergqvist D, Lassen MR, Colwell CW, et al. Prevention of venous thromboembolism: the Seventh ACCP Conference on Antithrombotic and Thrombolytic Therapy. Chest. 2004;126:338S–400S
  4. Risk of and prophylaxis for venous thromboembolism in hospital patients (Thromboembolic Risk Factors (THRIFT) Consensus Group). BMJ. 1992;305:567–574
  5. Verstraete M. Prophylaxis of venous thromboembolism. BMJ. 1997;314:123–125
  6. Nicolaides AN, Breddin HK, Carpenter P, Coccheri S, Conard J, De Stefano V, et al. Thrombophilia and venous thromboembolism (International consensus statement. Guidelines according to scientific evidence). Int Angiol. 2005;24:1–26
  7. Pini M, Spyropoulos AC. Prevention of venous thromboembolism. Semin Thromb Hemost. 2006;32:755–766
  8. Gangireddy C, Rectenwald JR, Upchurch GR, Wakefield TW, Khuri S, Henderson WG, et al. Risk factors and clinical impact of postoperative symptomatic venous thromboembolism. J Vasc Surg. 2007;45:335–341discussion 341-2
  9. Approved. more options for hospital core measures. Jt Comm Perspect. 2009;29:4–6
  10. Tooher R, Middleton P, Pham C, Fitridge R, Rowe S, Babidge W, et al. A systematic review of strategies to improve prophylaxis for venous thromboembolism in hospitals. Ann Surg. 2005;241:397–415
  11. Kucher N, Koo S, Quiroz R, Cooper JM, Paterno MD, Soukonnikov B, et al. Electronic alerts to prevent venous thromboembolism among hospitalized patients. N Engl J Med. 2005;352:969–977
  12. Mosen D, Elliott CG, Egger MJ, Mundorff M, Hopkins J, Patterson R, et al. The effect of a computerized reminder system on the prevention of postoperative venous thromboembolism. Chest. 2004;125:1635–1641
  13. Durieux P, Nizard R, Ravaud P, Mounier N, Lepage E. A clinical decision support system for prevention of venous thromboembolism: effect on physician behavior. JAMA. 2000;283:2816–2821
  14. Sharnoff JG, DeBlasio G. Prevention of fatal postoperative thromboembolism by heparin prophylaxis. Lancet. 1970;2:1006–1007
  15. Gallus AS, Hirsh J, Tutle RJ, Trebilcock R, O'Brien SE, Carroll JJ, et al. Small subcutaneous doses of heparin in prevention of venous thrombosis. N Engl J Med. 1973;288:545–551
  16. Hull RD, Brant RF, Pineo GF, Stein PD, Raskob GE, Valentine KA. Preoperative vs postoperative initiation of low-molecular-weight heparin prophylaxis against venous thromboembolism in patients undergoing elective hip replacement. Arch Intern Med. 1999;159:137–141
  17. Leizorovicz A, Haugh MC, Chapuis FR, Samama MM, Boissel JP. Low molecular weight heparin in prevention of perioperative thrombosis. BMJ. 1992;305:913–920
  18. Bergqvist D. Low molecular weight heparin for the prevention of venous thromboembolism after abdominal surgery. Br J Surg. 2004;91:965–974
  19. Khuri SF. The NSQIP: a new frontier in surgery. Surgery. 2005;138:837–843
  20. Centers for Medicare and Medicaid Services and The Joint Commission. Specifications Manual for National Hospital Inpatient Quality Measures. Vol. 2.6b www.jointcommission.org.2009;
  21. Hunt DL, Haynes RB, Hanna SE, Smith K. Effects of computer-based clinical decision support systems on physician performance and patient outcomes: a systematic review. JAMA. 1998;280:1339–1346

 Competition of interest: none.

 The editors and reviewers of this article have no relevant financial relationships to disclose per the JVS policy that requires reviewers to decline review of any manuscript for which they may have a competition of interest.

PII: S0741-5214(09)01832-1

doi: 10.1016/j.jvs.2009.08.097

Journal of Vascular Surgery
Volume 51, Issue 3 , Pages 648-654 , March 2010

Article Tools

* Image Usage & Resolution