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Improving Adherence to Practice Guidelines for Anticoagulation in Patients Receiving Neuraxial Anesthesia Using an Electronic Order Entry Alert System
Author(s) -
Jessica Jajosky,
Stephen M. Howell,
John Honaker,
Allison Moriarty,
Joy Marie Shea
Publication year - 2015
Publication title -
journal of patient safety
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.546
H-Index - 34
eISSN - 1549-8425
pISSN - 1549-8417
DOI - 10.1097/pts.0000000000000219
Subject(s) - medicine , antithrombotic , hematoma , anesthesia , epidural hematoma , clinical practice , complication , medical record , intensive care medicine , surgery , physical therapy
Epidural analgesia is frequently used to alleviate postoperative pain. Though rare, epidural hematoma continues to be a feared complication of neuraxial analgesia. The risk of epidural hematoma is likely increased when certain regimens are used for prophylaxis/treatment of venous thromboembolism. To help decrease the risk, we developed an alert in our electronic medical record to assist providers with adherence to published guidelines addressing neuraxial analgesia and anticoagulation.

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