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Release Notes:
Data Element
Version 2010A1

Data Element Name: VTE Prophylaxis
Collected For: , ,
Definition:Documentation of venous thromboembolism (VTE) prophylaxis ordered anytime from hospital arrival to 48 hours after Surgery End Time. VTEs are the formation, development, or existence of a blood clot or thrombus within the venous system.
Suggested Data Collection Question:What venous thromboembolism (VTE) prophylaxis was ordered anytime from hospital arrival to 48 hours after Surgery End Time?
Format:
Length:1
Type:Alphanumeric
Occurs:1-7
Allowable Values:

Select all that apply:

1    Low dose unfractionated heparin (LDUH)

2   Low molecular weight heparin (LMWH)

3   Intermittent pneumatic compression devices (IPC)

4   Graduated compression stockings (GCS)

5   Factor Xa Inhibitor

6   Warfarin

7   Venous foot pumps (VFP)

A   None of the above or not documented or unable to determine from medical record documentation

JOINT COMMISSION NOTE TO PROGRAMMERS:
This data element should be implemented such that abstractors have the opportunity to select one or more of the allowable values. No value should be recorded more than once. If a value of “A” is selected, no other selections should be recorded.

Notes for Abstraction:
  • Collect any mechanical form(s) of prophylaxis for which there is documentation of being placed on the patient anytime from hospital arrival to 48 hours after Surgery End Time.
  • Prophylaxis can be ordered anytime from hospital arrival to 48 hours after Surgery End Time.
    Example:
    • The patient is a 69-year-old female who had a right lobectomy. The surgeon ordered an intermittent pneumatic device; select 3, “Intermittent pneumatic compression devices.”
Suggested Data Sources:

MECHANICAL:

  • Circulator’s notes
  • Graphic/flow sheets
  • Medication administration record
  • Nursing notes
  • Operative notes
  • Physician notes
  • Preoperative nursing notes
  • Progress notes

ONLY ACCEPTABLE SOURCE FOR PHARMACOLOGIC:

  • Physician orders
Additional Notes:
Guidelines for Abstraction:
Inclusion Exclusion
  • Refer to Appendix H, Table 2.1 VTE Prophylaxis Inclusion Table
  • Refer to Appendix H, Table 2.2 VTE Prophylaxis Exclusion Table

VTE Prophylaxis
Specifications Manual for Joint Commission National Quality Core Measures (2010A1)
Discharges 04-01-10 (2Q10) through 09-30-10 (3Q10)