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Research Letter
Less Is More
August 2018

Use of Venous Thromboembolism Prophylaxis in Hospitalized Patients

Author Affiliations
  • 1Department of Internal Medicine, University of Michigan Medical School, Ann Arbor
  • 2The Michigan Hospital Medicine Safety Consortium, Ann Arbor
  • 3Center for Clinical Management Research, Veterans Affairs Ann Arbor Health Care System, Ann Arbor, Michigan
  • 4The Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor
JAMA Intern Med. 2018;178(8):1122-1124. doi:10.1001/jamainternmed.2018.2022

National guidelines1 recommend objective risk stratification for venous thromboembolism (VTE) in hospitalized medical patients. The Padua Prediction Score risk assessment model2 is recommended to categorize patients as high or low risk. The Michigan Hospital Medicine Safety Consortium (HMS), a statewide quality collaborative aimed at preventing adverse events in hospitalized medical patients, collects detailed data on VTE risk factors, prophylactic treatment, and outcomes. Using data from the HMS,3 we sought to determine whether patients in this cohort were receiving appropriate VTE prophylaxis.

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