Electronic Alert System Combined With a Risk Score Calculation Tool for Improving Appropriate Thromboprophylaxis in Hospitalized Medical Patients: a Randomized Controlled Trial
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Venous Thromboembolism
- Sponsor
- Insel Gruppe AG, University Hospital Bern
- Enrollment
- 1756
- Locations
- 1
- Primary Endpoint
- Rate of appropriate thromboprophylaxis
- Status
- Completed
- Last Updated
- 9 years ago
Overview
Brief Summary
The investigators aim to investigate whether a computer-based alert system in the electronic patient chart and order entry system using the Geneva Risk Score as clinical decision support tool to estimate the risk of venous thromboembolism improves the rate of appropriate thromboprophylaxis among hospitalized medical patients.
Detailed Description
The use of thromboprophylaxis among acutely ill hospitalized medical patients remains inconsistent. The present study aims to improve the use of appropriate thromboprophylaxis by implementing a computer-based alert system combined with a Geneva Risk Score calculation tool in the electronic patient chart and order entry system. Consecutive acutely ill medical patients without indication for therapeutic anticoagulation or ongoing therapeutic anticoagulant treatment admitted to the medical wards of the University Hospital Bern, Switzerland, will be randomized in a 1:1 fashion to the alert group in which an alert and the Geneva Risk Score calculation tool will be issued in the electronic patient chart or to the control group in which no alert will be issued. The primary endpoint is the rate of appropriate thromboprophylaxis during hospital stay.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Acutely ill medical patients admitted to medical wards
Exclusion Criteria
- •Indication for therapeutic anticoagulation or ongoing therapeutic anticoagulant treatment
Outcomes
Primary Outcomes
Rate of appropriate thromboprophylaxis
Time Frame: During hospital stay (expected average duration of 1 week)
Secondary Outcomes
- Rate of correct calculation of the Geneva Risk Score through the calculation tool by the physician in charge(During hospital stay (expected average duration of 1 week))
- Use of the Geneva Risk Score calculation tool by the physician in charge(During hospital stay (expected average duration of 1 week))