Release Notes:
Data Element
Version 2010B
| Data Element Name: | DVT Prophylaxis Initiated by End of Hospital Day 2 |
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| Collected For: | , |
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| Definition: | The administration of a defined DVT prophylaxis strategy was initiated by the end of hospital day 2. |
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| Suggested Data Collection Question: | Was DVT prophylaxis initiated by the end of hospital day 2? |
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| Format: | | Length: | |
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| Type: | Alphanumeric |
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| Occurs: | |
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| Allowable Values: |
Y (Yes, DVT prophylaxis was initiated by the end of hospital day 2)
N (No, DVT prophylaxis was not initiated by the end of hospital day 2, OR unable to determine from medical record documentation)
NC (No, DVT prophylaxis was not initiated by the end of hospital day 2. A documented reason for not administering DVT prophylaxis exists)
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| Notes for Abstraction: | To compute end of hospital day two, count the arrival date as hospital day one. If DVT prophylaxis was administered by 11:59 PM of hospital day two, answer “Yes” for this data element. E.g, Patient arrives Monday 05:00, DVT prophylaxis must be initiated before 23:59 on Tuesday; if patient arrives at 23:30 on Monday, DVT prophylaxis must be initiated by 23:59 on Tuesday.
Reasons for not prescribing DVT prophylaxis must be documented by a physician, nurse practitioner or physician assistant. If reasons are not mentioned in the context of DVT prophylaxis, do not make inferences.
If documentation indicates that patient/caregiver refused DVT prophylaxis, choose “NC”.
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| Suggested Data Sources: |
- Progress notes
- Physician orders
- Medication records
- Clinical logs
- Flow charts.
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| Additional Notes: |
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| Guidelines for Abstraction: |
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| Inclusion | Exclusion |
DVT Prophylaxis
- Low-dose, subcutaneous (sub-Q), unfractionated (“regular”) heparin
- Low Molecular Weight (LMW) heparin (enoxaparin, dalteparin, nadroparin)
- Alternative anticoagulants (danaparoid, hirudin, bivalirudin, other heparinoids)
- Intravenous heparin, IV heparin
- Pneumatic compression stockings, sequential compression devices, SCDs
- Already receiving anticoagulation, e.g., admitted on Coumadin and remains on Coumadin
- Warfarin (Coumadin)
- Warfarin Sodium
- Pneumoboots
- Venodynes
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- TED hose
- Compression socks
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DVT Prophylaxis Initiated by End of Hospital Day 2
Specifications Manual for Joint Commission National Quality Core Measures (2010B)
Discharges 10-01-10 (4Q10) through 03-31-11 (1Q11)
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