Mandatory Use of CPOE Prevents Blood Clots

Cheryl Clark, for HealthLeaders Media , October 16, 2012

An effort to force Johns Hopkins doctors to order appropriate treatment to prevent venous thromboembolism or blood clots in their trauma patients has paid off, with more patients getting appropriate medications and fewer patients developing potentially lethal clots.

That's according to a report in the Archives of Surgery by Elliott Haut, MD, associate professor of surgery at Johns Hopkins School of Medicine and colleagues, including Peter Pronovost, MD.

A VTE-programmed computerized physician order entry (CPOE) system "allowed the use of appropriate prophylaxis in patients who did not have a contraindication to these medications to jump up significantly" over the three-year study period, Haut says. Additionally, fewer patients actually developed pulmonary emboli, in which a blood clot found its way to a patient's lung.

The researchers found that after the CPOE system was implemented, there was a 36% relative risk reduction in VTE events and an 83% relative risk reduction in preventable harm, defined as VTE events occurring in patients not ordered appropriate prophylaxis."

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3 comments on "Mandatory Use of CPOE Prevents Blood Clots"

Todd (10/17/2012 at 5:40 PM)
Funny. Many JCI accredited hospitals like Severence and Bumrungrad have fully integrated CPOE systems yet US hospitals generally don't putting patients at greater risk.

Toni Alcott (10/17/2012 at 12:03 PM)
I would like to see physician's better educated on treatment of blood clots to prevent them from becoming fatal. I had a terrible experience With 3 blood clots, DVT and a PE because of a physician being stubborn and not taking action soon enough when two other physician's had consulted with him on this and he still would not listen.

jain (10/16/2012 at 1:18 PM)
i would like to think that my doctor is good enough he wouldn't overlook just an important aspect of my care.




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