Performance Measurement Network

Question: Reason for No VTE Prophylaxis - Hemorrhagic Stroke Patient

Hemorrhagic stroke patient with no VTE Prophylaxis administered the day of or day after admission. Mechanical prophylaxis applied on day 3. MD documentation does not explicitly document a "Reason for No VTE Prophylaxis". Since this was a hemorrhagic stroke, for which anticoagulants would be contraindicated, can it be inferred that is the reason for no VTE Prophylaxis or is more specific documentation needed?

Answer:

When pharmacological approaches are contraindicated as in the above case of hemorrhagic stroke, mechanical prophylaxis should be administered the day of or day after hospital admission. For the case above, select 'A' for *VTE Prophylaxis* and 'No' for Reason for No VTE Prophylaxis. Reasons should be linked with VTE Prophylaxis, e.g., "Bilateral amputeeadmitted for hemorrhagic stroke-No VTE Prophylaxis".

Question Details
Focus area(s): Chart Abstracted Measure Specifications – Clinical
Related documents: STK-01,
File:

Copyright © by the contributing authors. All material on this collaboration platform is the property of the contributing authors.
Ideas, requests, problems regarding Performance Measurement Network? Send feedback