Prescriber knowledge and attitudes regarding non-administration of prescribed pharmacologic venous thromboembolism prophylaxis

Kara L. Piechowski, Stacy Elder, Leigh E. Efird, Elliott R. Haut, Michael B. Streiff, Brandyn D. Lau, Peggy S. Kraus, Cynthia S. Rand, Victor O. Popoola, Deborah B. Hobson, Norma E. Farrow, Dauryne Shaffer, Kenneth M. Shermock

Research output: Contribution to journalArticlepeer-review

Abstract

Pharmacologic venous thromboembolism (VTE) prophylaxis is important patient safety practice in hospitalized patients. However, a substantial number of ordered doses are not administered. Patient and nursing attitudes and behaviors can influence whether a patient receives a dose. The objective of this single center study was to evaluate prescriber knowledge and attitudes regarding missed doses of pharmacologic VTE prophylaxis. An anonymous, 9-question survey was administered to internal medicine and general surgery resident physicians. The survey captured prescriber opinions on issues related to non-administration of VTE prophylaxis. Thirty-two percent of medicine residents compared with 3 % of surgery residents felt pharmacologic VTE prophylaxis was not necessary in an independently ambulating patient (P < 0.001). Medicine residents were more likely to agree that it is appropriate for nurses to make clinical decisions to determine whether a dose of pharmacologic VTE prophylaxis should be administered to a patient (24 vs. 0 %, P < 0.001). Study findings indicate the need for additional resident physician education. Further investigation is needed to assess these beliefs and ensure patients receive necessary VTE prophylaxis.

Original languageEnglish (US)
Pages (from-to)463-470
Number of pages8
JournalJournal of Thrombosis and Thrombolysis
Volume42
Issue number4
DOIs
StatePublished - Nov 1 2016

Keywords

  • Patient safety
  • Survey
  • Thromboembolism
  • VTE prophylaxis

ASJC Scopus subject areas

  • Hematology
  • Cardiology and Cardiovascular Medicine

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