Electronic Alert System for Improving Thromboprophylaxis in Hospitalized Medical Patients

Insel Gruppe AG, University Hospital Bern

Status: Completed

Conditions: Venous Thromboembolism

Treatments: Other: Electronic alert and the Geneva Risk Score calculation tool issued in the electronic patient chart

Study type: Interventional

Funder types: Other

Identifiers

NCT03124017

159/14

Details and patient eligibility

About

The investigators aim to investigate whether a computer-based alert system in the electronic patient chart and order entry system using the Geneva Risk Score as clinical decision support tool to estimate the risk of venous thromboembolism improves the rate of appropriate thromboprophylaxis among hospitalized medical patients.

Full description

The use of thromboprophylaxis among acutely ill hospitalized medical patients remains inconsistent. The present study aims to improve the use of appropriate thromboprophylaxis by implementing a computer-based alert system combined with a Geneva Risk Score calculation tool in the electronic patient chart and order entry system. Consecutive acutely ill medical patients without indication for therapeutic anticoagulation or ongoing therapeutic anticoagulant treatment admitted to the medical wards of the University Hospital Bern, Switzerland, will be randomized in a 1:1 fashion to the alert group in which an alert and the Geneva Risk Score calculation tool will be issued in the electronic patient chart or to the control group in which no alert will be issued. The primary endpoint is the rate of appropriate thromboprophylaxis during hospital stay.

Enrollment: 1,756 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Acutely ill medical patients admitted to medical wards

Exclusion criteria

• Indication for therapeutic anticoagulation or ongoing therapeutic anticoagulant treatment

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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1,756 participants in 2 patient groups

Alert Group

Experimental group

Description:

Electronic alert and the Geneva Risk Score calculation tool issued in the electronic patient chart

Treatment:

Other: Electronic alert and the Geneva Risk Score calculation tool issued in the electronic patient chart

Control Group

No Intervention group

Description:

No electronic alert and no Geneva Risk Score calculation tool issued in the electronic patient chart