Evidence map›Paper›PMID 36047732›Full record

Trial reportJournal of the American Heart Association2022

Alert-Triggered Patient Education Versus Nurse Feedback for Nonadministered Venous Thromboembolism Prophylaxis Doses: A Cluster-Randomized Controlled Trial.

Elliott R Haut, Oluwafemi P Owodunni, Jiangxia Wang, Dauryne L Shaffer, Deborah B Hobson, Gayane Yenokyan, Peggy S Kraus, Norma E Farrow, Joseph K Canner, Katherine L Florecki and 8 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of the American Heart Association, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.3field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. A systematic approach to venous thromboembolism prevention: a focus on UK experience.Research and practice in thrombosis and haemostasis · 2023
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors at 3 institutions in 1 country.

Elliott R HautDepartment of Surgery Johns Hopkins University School of Medicine Baltimore MD.ORCID 0000-0001-7075-771X
Oluwafemi P OwodunniDepartment of Surgery Johns Hopkins University School of Medicine Baltimore MD.
Jiangxia WangDepartment of Biostatistics Johns Hopkins Bloomberg School of Public Health Baltimore MD.ORCID 0000-0002-1715-3981
Dauryne L ShafferDepartment of Surgery Johns Hopkins University School of Medicine Baltimore MD.
Deborah B HobsonDepartment of Surgery Johns Hopkins University School of Medicine Baltimore MD.
Gayane YenokyanDepartment of Biostatistics Johns Hopkins Bloomberg School of Public Health Baltimore MD.
Peggy S KrausDepartment of Pharmacy The Johns Hopkins Hospital Baltimore MD.
Norma E FarrowDepartment of Surgery Duke University Medical Center Durham NC.ORCID 0000-0002-0404-214X
Joseph K CannerThe Johns Hopkins Surgery Center for Outcomes Research Johns Hopkins University School of Medicine Baltimore MD.
Katherine L FloreckiDepartment of Surgery Johns Hopkins University School of Medicine Baltimore MD.
Kristen L W WebsterDepartment of Anesthesiology and Critical Care Medicine Johns Hopkins University School of Medicine Baltimore MD.
Christine G HolzmuellerDepartment of Surgery Johns Hopkins University School of Medicine Baltimore MD.
Jonathan K AboagyeDepartment of Surgery Johns Hopkins University School of Medicine Baltimore MD.
Victor O PopoolaDepartment of Biostatistics Johns Hopkins Bloomberg School of Public Health Baltimore MD.
Mujan Varasteh KiaDepartment of Surgery Johns Hopkins University School of Medicine Baltimore MD.ORCID 0000-0002-7689-6400
Peter J PronovostDepartment of Surgery Johns Hopkins University School of Medicine Baltimore MD.
Michael B StreiffDivision of Hematology, Department of Medicine Johns Hopkins University School of Medicine Baltimore MD.
Brandyn D LauDivision of Health Sciences Informatics, Russell H. Morgan Department of Radiology and Radiological Science Johns Hopkins University School of Medicine Baltimore MD.ORCID 0000-0003-3575-2440
Johns Hopkins University · USDuke Medical Center · USJohns Hopkins Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Many hospitalized patients are not administered prescribed doses of pharmacologic venous thromboembolism prophylaxis. Methods and Results In this cluster-randomized controlled trial, all adult non-intensive care units (10 medical, 6 surgical) in 1 academic hospital were randomized to either a real-time, electronic alert-triggered, patient-centered education bundle intervention or nurse feedback intervention to evaluate their effectiveness for reducing nonadministration of venous thromboembolism prophylaxis. Primary outcome was the proportion of nonadministered doses of prescribed pharmacologic prophylaxis. Secondary outcomes were proportions of nonadministered doses stratified by nonadministration reasons (patient refusal, other). To test our primary hypothesis that both interventions would reduce nonadministration, we compared outcomes pre- versus postintervention within each cohort. Secondary hypotheses were tested comparing the effectiveness between cohorts. Of 11 098 patient visits, overall dose nonadministration declined significantly after the interventions (13.4% versus 9.2%; odds ratio [OR], 0.64 [95% CI, 0.57-0.71]). Nonadministration decreased significantly (

Indexed as

Venous ThromboembolismAdultAnticoagulantsFeedbackHospitalizationHumansPatient Education as TopicAnticoagulantsdeep vein thrombosispatient‐centered careprophylaxispulmonary embolismrandomized trialvenous thromboembolism

Identifiers

PMID36047732
PMCPMC9683644
OpenAlexW4294026084

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.