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VTE prevention: an examination of the implementation of SMAT and VTE reeducation

Gibson, Karl (2019) VTE prevention: an examination of the implementation of SMAT and VTE reeducation. Master Essay, University of Pittsburgh.

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Venous thromboembolisms (VTEs) are blood clots that begin in a vein and include deep venous thromboses (DVTs) and pulmonary embolisms (PEs). VTEs will affect an estimated 71 out of every 100,000 individuals yearly, with 100,000 to 300,000 deaths being attributable to VTEs every year, accounting for 10% of all hospital deaths, killing more people than AIDS, cancer, and auto accidents combined. Ultimately, VTEs are considered the most preventable hospital acquired condition. Using Cerner (an electronic health record) based data, this study investigates the impact of standardizing medication administration times (SMAT). A Chi Square test was used to examine the impact of this intervention. Findings suggest that the SMAT intervention both reduced the percent of pharmacological anticoagulation missed doses as well as the relative rate of patient refusals. This study also proposes a comprehensive VTE reeducation initiative, detailing the structure and evaluation of the initiative as well. The reeducation initiative improves two aspects of the iron triangle, namely improving patient quality and containing costs for VTE treatment, illustrating the public health relevance of the study.


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Item Type: Other Thesis, Dissertation, or Long Paper (Master Essay)
Status: Unpublished
CreatorsEmailPitt UsernameORCID
Gibson, Karlkgw2@pitt.edukgw2
ContributionContributors NameEmailPitt UsernameORCID
Committee ChairBroom, Kevinkevinbroom@pitt.eduUNSPECIFIEDUNSPECIFIED
Committee MemberVolkar, Judithvolkarjk2@upmc.eduUNSPECIFIEDUNSPECIFIED
Committee MemberGenday, Pattygendaypa@upmc.eduUNSPECIFIEDUNSPECIFIED
Date: 16 April 2019
Date Type: Submission
Submission Date: 4 April 2019
Access Restriction: No restriction; Release the ETD for access worldwide immediately.
Number of Pages: 67
Institution: University of Pittsburgh
Schools and Programs: School of Public Health > Health Policy & Management
Degree: MHA - Master of Health Administration
Thesis Type: Master Essay
Refereed: Yes
Uncontrolled Keywords: VTE Prevention Standardized Medication Administration Time Anticoagulation Education
Date Deposited: 07 Oct 2019 19:36
Last Modified: 07 Oct 2019 19:36


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