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

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 thi...

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Bibliographic Details
Published in:Journal of thrombosis and thrombolysis 2016-11, Vol.42 (4), p.463-470
Main Authors: Piechowski, Kara L., Elder, Stacy, Efird, Leigh E., Haut, Elliott R., Streiff, Michael B., Lau, Brandyn D., Kraus, Peggy S., Rand, Cynthia S., Popoola, Victor O., Hobson, Deborah B., Farrow, Norma E., Shaffer, Dauryne, Shermock, Kenneth M.
Format: Article
Language:English
Subjects:
Cardiology
Drug Prescriptions
Female
Hematology
Humans
Internship and Residency
Knowledge
Male
Medicine
Medicine & Public Health
Venous Thromboembolism - prevention & control
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Summary: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  
ISSN:0929-5305
1573-742X
DOI:10.1007/s11239-016-1378-8