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

Kara L. Piechowski, Stacy Elder, Leigh E. Efird, Elliott Haut, Michael B Streiff, Brandyn 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 journalArticle

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)1-8
Number of pages8
JournalJournal of Thrombosis and Thrombolysis
DOIs
StateAccepted/In press - May 21 2016

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Keywords

  • Patient safety
  • Survey
  • Thromboembolism
  • VTE prophylaxis

ASJC Scopus subject areas

  • Hematology
  • Cardiology and Cardiovascular Medicine

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