Development and Assessment of RecosDoc-MTeV to Improve the Quality of Direct Oral Anticoagulant Prescription for Venous Thromboembolic Disease.

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ID: 47634
2019
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Abstract
Potentially inappropriate prescribing of direct oral anticoagulants is frequent with the most common errors being dosage, administration, and duration of therapy. We developed RecosDoc-MTeV, a documentary-based clinical decision support system (CDSS) for the management of direct oral anticoagulant prescription to prevent and treat venous thromboembolism. Simultaneously, the network of Parisian public hospitals (AP-HP, France) developed narrative clinical practice guidelines (CPGs) and a companion smartphone application to enhance medication and patient safety related to direct oral anticoagulant prescription. To assess the effectiveness of these CDS tools, we performed a retrospective review of 274 random patients hospitalized in 2017, which were either at risk of venous thromboembolism or actually treated for the disease. Consistency between the two CDS tools was measured at 96.7%. Administered treatments were compliant in 67.2% and 72.3% of the cases, with AP-HP CPGs and RecosDoc-MTeV, respectively. These results support that implementing CDSSs for the prescription of direct oral anticoagulants may ensure safe prescribing of high-risk medications.
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sroussi2019developmentstudies Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Séroussi, Brigitte;Ouarrirh, Houda;Elalamy, Ismaël;Gerotziafas, Grigorios;Debrix, Isabelle;Bouaud, Jacques;
Journal Studies in health technology and informatics
Year 2019
DOI
10.3233/SHTI190332
URL
Keywords
venous thromboembolism clinical practice guidelines guideline adherence clinical decision support system health care quality assessment

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