Reducing Venous Thromboembolism Risk With Computerized Clinical Decision Support Systems

HealthDay News — Use of computerized clinical decision support systems (CCDSSs) among surgical patients is associated with an increase in the rate of appropriate ordering of venous thromboembolism (VTE) prophylaxis and a decrease in the risk of VTE events, according to a review published online in JAMA Surgery.

Zachary M. Borab, from the New York University School of Medicine in New York City, and colleagues conducted a systematic literature review to examine the effect of implementing CCDSSs on the ordering of VTE prophylaxis and rates of VTE. Eleven studies conducted among 156,366 surgical patients comparing CCDSSs with VTE risk stratification and assistance in ordering prophylaxis versus routine care without decision support were eligible for meta-analysis.

The researchers found that CCDSS use correlated with a significant increase in the rate of appropriate ordering of VTE prophylaxis (odds ratio [OR]: 2.35) and with a significant reduction in the risk of VTE events (risk ratio [RR]:0.78).

“Use of CCDSSs increases the proportion of surgical patients who were prescribed adequate prophylaxis for VTE and correlates with a reduction in VTE events,” the authors write.

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Borab ZM, Lanni MA, Tecce MG, Pannucci CJ, Fischer JP. Use of computerized clinical decision support systems to prevent venous thromboembolism in surgical patients [published online March 15]. JAMA Surg. doi: 10.1001/jamasurg.2017.0131

Lau BD, Haut ER. Computerized clinical decision support systems for prevention of venous thromboembolism [published online March 15, 2017]. JAMA Surg. doi: 10.1001/jamasurg.2017.0107