Clinical decision support

Towards 100% Prevention: The Importance of VTE Prophylaxis

April 12, 2018

Tags: , , , , , , , ,

It’s a major cardiovascular condition that affects persons of all ages and ethnicities, and the second most common cardiovascular disorder after acute coronary syndrome (CanVECTOR, 2018).

Venous thromboembolism (VTE) is a condition in which a blood clot forms, often in the extremities and travelling through one’s circulation, sometimes even lodging in the lungs. Clinicians agree that this condition is preventable.

As the Clinical Research and Development team at Think Research has identified, when it comes to VTE prophylaxis, there’s always room for improvement in uptake and implementation. With this in mind, the team at Think Research recently hosted a workshop to address VTE, including risk factors, guidance, current gaps in VTE prophylaxis, the ideal state of VTE prophylaxis, and how the health care community can work to bridge the gap.

The workshop was attended by clinicians spanning the healthcare continuum, including staff physicians, resident physicians and pharmacists. The group was extremely engaged and there was practical feedback provided on every single item of discussion, which proved to be useful for Think Research’s entire Order Set library.

One of the dominant themes that emerged during the course of this workshop was the need to be more explicitly directive with Order Set recommendations, versus merely suggestive. Understanding this allowed us greater insight into the needs of our clinical network. The demand for new content and new real-time tools is also there, and we were also struck by the general appetite for technology, and the opportunities that exist in altering functionality to suit clinicians’ needs.

Another topic of discussion was that of the ease around Order Set use, along with the efficiencies they foster. Recommendations were made to alter the Implementation Consideration and References sections (which are sometimes removed during the implementation phase) in order to keep this essential content available as dropdown options.

The atmosphere of this workshop was one of spirited discussion, with varied perspectives but also a fundamental respect for those differing opinions. For example, there were contrasting views on how best to structure the Order Sets, with the physicians and pharmacists each adding a unique nuance to the conversation, and each focusing on different parts of an Order Set. Despite this, the tone was very respectful and egalitarian, with no one voice overshadowing another.

We’d like to thank our workshop attendees for their dedication. As a result of candid and open conversation, we were able to gather a significant amount of useful feedback that we can incorporate in Order Set updates and improvements. Workshops such as this one represent a meaningful step forward to bringing not only awareness, but best practices around VTE prophylaxis to the point of care.

 

0 likes