{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T01:57:03Z","timestamp":1777859823095,"version":"3.51.4"},"reference-count":16,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2024,2,14]],"date-time":"2024-02-14T00:00:00Z","timestamp":1707868800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Pharmacy Practice"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:p>Introduction: Venous thromboembolism (VTE) remains a leading cause of preventable harm among hospitalized patients. Pharmacologic VTE prophylaxis reduces the rate of in-hospital VTE by 60%, but medication administration is often missed for various reasons. Electronic medical record (EMR) prompts may be a useful tool to decrease withholding of critical VTE chemoprophylaxis medications. Methods: In August 2021, an EMR prompt was implemented at a tertiary referral academic medical center mandating nursing staff to contact a provider for approval before withholding VTE chemoprophylaxis. A pre-intervention group from August 2020 to August 2021 was compared to a post-intervention group from August 2021 to August 2022. Rates of VTE chemoprophylaxis withholding were compared between the groups with a P &lt; .01 considered significant. Results: A total of 16,395 patients prescribed VTE chemoprophylaxis were reviewed, with 13,395 (81.7%) receiving low molecular weight heparin. Of the 16,395 patients included, 10,701 (65.3%) were medical and 5694 (34.7%) were surgical. Patients in the pre-intervention cohort (n = 8803) and post-intervention cohort (n = 7592) were similar in hospital length of stay and duration of DVT prophylaxis. In the post-intervention group, the frequency of surgical patients with at least one missed dose had increased by 4.2% ( P = .002), with the trauma and acute care surgery (TACS) show an increase of 6.6% ( P &lt; .001). However, the frequency of medical patients and non-TACS patients with missed doses decreased by 3.1% ( P = .002) and 1.0% (&lt;.001), respectively. Conclusions: EMR prompts appear to be a low-cost intervention that increases the rate of VTE prophylaxis administration among medical and elective surgery patients.<\/jats:p>","DOI":"10.1177\/08971900241232565","type":"journal-article","created":{"date-parts":[[2024,2,14]],"date-time":"2024-02-14T22:27:16Z","timestamp":1707949636000},"page":"1157-1163","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Increasing the Rate of Venous Thromboembolism Chemoprophylaxis Administration Using the Electronic Medical Record"],"prefix":"10.1177","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-4025-7967","authenticated-orcid":false,"given":"Aaron B.","family":"Pollock","sequence":"first","affiliation":[{"name":"Department of Surgery, University of Tennessee College of Medicine Chattanooga, Chattanooga, TN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kevin N.","family":"Harrell","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Tennessee College of Medicine Chattanooga, Chattanooga, TN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M. Victoria P.","family":"Miles","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Tennessee College of Medicine Chattanooga, Chattanooga, TN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emily S.","family":"Garrett","sequence":"additional","affiliation":[{"name":"Erlanger Health System, Chattanooga, TN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Breanna L.","family":"Carter","sequence":"additional","affiliation":[{"name":"Erlanger Health System, Chattanooga, TN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert A.","family":"Maxwell","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Tennessee College of Medicine Chattanooga, Chattanooga, TN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,2,14]]},"reference":[{"key":"bibr1-08971900241232565","doi-asserted-by":"publisher","DOI":"10.3390\/jcm9082467"},{"key":"bibr2-08971900241232565","doi-asserted-by":"publisher","DOI":"10.2147\/CEOR.S85635"},{"key":"bibr3-08971900241232565","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2015.1340"},{"key":"bibr4-08971900241232565","doi-asserted-by":"publisher","DOI":"10.1007\/s11239-015-1311-6"},{"key":"bibr5-08971900241232565","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000769"},{"key":"bibr6-08971900241232565","doi-asserted-by":"publisher","DOI":"10.12788\/jhm.2942"},{"issue":"2","key":"bibr7-08971900241232565","first-page":"S8","volume":"11","author":"Streiff MB","year":"2016","journal-title":"J Hosp Med"},{"key":"bibr8-08971900241232565","doi-asserted-by":"publisher","DOI":"10.1177\/2516043520969324"},{"key":"bibr9-08971900241232565","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0066311"},{"key":"bibr10-08971900241232565","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0181664"},{"key":"bibr11-08971900241232565","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2011.09.012"},{"key":"bibr12-08971900241232565","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsa010181"},{"key":"bibr13-08971900241232565","doi-asserted-by":"publisher","DOI":"10.1136\/bmjoq-2019-000885"},{"key":"bibr14-08971900241232565","volume-title":"Lovenox [prescribing Information]","year":"2013"},{"key":"bibr15-08971900241232565","unstructured":"DailyMed - ARIXTRA- Fondaparinux Sodium Injection, Solution (n.d.). 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