Release Notes:
Data Element
Version 2010B
| Data Element Name: | VTE Prophylaxis |
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| Collected For: | , , |
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| 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. |
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| Suggested Data Collection Question: | What venous thromboembolism (VTE) prophylaxis was ordered anytime from hospital arrival to 48 hours after Surgery End Time? |
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| Format: | | Length: | 1 |
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| Type: | Alphanumeric |
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| Occurs: | 1-7 |
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| 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.
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| 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.”
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| 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:
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| Additional Notes: |
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| Guidelines for Abstraction: |
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| Inclusion | Exclusion |
- Refer to Appendix H, Table 2.1 VTE Prophylaxis Inclusion Table
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- Refer to Appendix H, Table 2.2 VTE Prophylaxis Exclusion Table
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VTE Prophylaxis
Specifications Manual for Joint Commission National Quality Core Measures (2010B)
Discharges 10-01-10 (4Q10) through 03-31-11 (1Q11)
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