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

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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.

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Author and article information

Journal

Journal ID (iso-abbrev): J. Thromb. Thrombolysis

Title: Journal of thrombosis and thrombolysis

Publisher: Springer Nature America, Inc

ISSN (Electronic): 1573-742X

ISSN (Print): 0929-5305

Publication date (Electronic): Nov 2016

Volume: 42

Issue: 4

Affiliations

[1 ] Department of Pharmacy, Johns Hopkins Hospital, 600 North Wolfe Street, Baltimore, MD, 21287, USA. kpiechowski1@gmail.com.

[2 ] Department of Pharmacy, Johns Hopkins Hospital, 600 North Wolfe Street, Baltimore, MD, 21287, USA.

[3 ] Division of Acute Care Surgery, Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

[4 ] Armstrong Institute for Patient Safety and Quality, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

[5 ] Division of Anesthesiology/Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

[6 ] Division of Health Policy and Management, Johns Hopkins University School of Public Health, Baltimore, MD, USA.

[7 ] Division of Hematology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

[8 ] Division of Health Sciences Informatics, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

[9 ] Pulmonary and Critical Care Medicine Department, Johns Hopkins University, Baltimore, MD, USA.

[10 ] Department of Nursing, Johns Hopkins Hospital, Baltimore, MD, USA.

[11 ] Center for Drug Safety and Effectiveness, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.

Article

Publisher Item ID: 10.1007/s11239-016-1378-8

DOI: 10.1007/s11239-016-1378-8

PubMed ID: 27209202

SO-VID: 2a25de4c-9f1d-4c02-a82e-1427b52a0d02

History

Keywords: VTE prophylaxis,Thromboembolism,Survey,Patient safety

Data availability:

Keywords: VTE prophylaxis, Thromboembolism, Survey, Patient safety

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