Utilization rates of enoxaparin and heparin in deep venous thrombosis prophylaxis after education and electronic order change at a single institution: a quality improvement study

Despite advantages of low molecular weight heparin (LMWH), enoxaparin over heparin (UFH) for venous thromboembolism (VTE), a hospital’s prescribing trends analysis showed use of each was about equal. In an attempt to increase LMWH over UFH use, electronic medical record (EMR) changes for medical ser...

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Bibliographic Details
Published in:Journal of thrombosis and thrombolysis 2018-11, Vol.46 (4), p.502-506
Main Authors: Hoang, Linda, Islam, Shahidul, Hindenburg, Alexander
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Anticoagulants
Cardiology
Drug Prescriptions
Education, Medical
Electronic medical records
Enoxaparin - therapeutic use
Hematology
Heparin
Heparin - therapeutic use
Humans
Medicine
Medicine & Public Health
Molecular weight
Premedication - trends
Premedication - utilization
Prophylaxis
Quality control
Quality Improvement
Teaching Rounds
Thromboembolism
Thrombosis
Venous Thrombosis - drug therapy
Young Adult
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Summary:Despite advantages of low molecular weight heparin (LMWH), enoxaparin over heparin (UFH) for venous thromboembolism (VTE), a hospital’s prescribing trends analysis showed use of each was about equal. In an attempt to increase LMWH over UFH use, electronic medical record (EMR) changes for medical service patients and education via multidisciplinary grand rounds was provided to all services. This was a unique opportunity to study LMWH and UFH use pre and post interventions at our institution. Citrix Pharmacy data was extracted for 3 months pre and post intervention (August 2016–February 2017). Inclusion criteria were age > 18 and LMWH or UFH VTE prophylaxis. Exclusion criteria were one time or duplicate orders and VTE treatment doses. Primary endpoint was hospital services VTE use with focus on medicine service which had both interventions compared to single intervention among all other services. LMWH use increased from 51 to 57.3% (p 
ISSN:0929-5305
1573-742X
DOI:10.1007/s11239-018-1727-x