University of Wisconsin–Madison

VTE and Health IT Supported Process for Preventing and Managing Venous Thromboembolism (VTE)

  • vte

    Overview: Venous thromboembolism (VTE), comprised of deep vein thrombosis (DVT) and pulmonary embolism (PE), remains a frequent, but preventable complication for hospitalized patients. These complications lead to significant increase in morbidity and mortality. The overall age and sex-adjusted incidence of VTE is more than 1 per 1,000 annually. It has been estimated that more than 900,000 VTE cases occur in the US every year. Approximately sixty-percent of the people with VTE develop it during their hospitalization or within 30 days of hospitalization. In addition to its human costs, VTE represents a major economic burden from the initial hospital costs and the high rate of hospital readmissions (5-14%).

    This project will implement a sociotechnical systems approach to the development of a health IT supported process for preventing and managing VTE.

    Aims: The aims of this project are:

    - to evaluate the cognitive and team work involved in VTE prevention (i.e. prophylaxis) and management (i.e. diagnosis and treatment) and

    - to develop design requirements for a Clincal Decision Support that supports cognitive and team work for preventing and managing VTE.

    Funding: Agency for Healthcare Research and Quality (AHRQ)

  • Pascale Carayon, PhD
    Procter & Gamble Bascom Professor in Total Quality
    Department of Industrial and Systems Engineering
    Director, Center for Quality and Productivity Improvement
    University of Wisconsin-Madison

    Roger Brown, PhD
    Professor, School of Nursing
    Director, Research Design Methodology and Statistics Unit
    University of Wisconsin-Madison

    Peter Hoonakker, PhD
    Research Scientist, Associate Director of Research
    Center for Quality and Productivity Improvement
    University of Wisconsin-Madison

    Ann Schoofs Hundt, PhD
    Research Scientist, Associate Director of Education
    Center for Quality and Productivity Improvement
    University of Wisconsin-Madison

    Peter Kleinschmidt, MD
    Internal Medicine Resident
    University of Wisconsin School of Medicine & Public Health

    Megan Salwei
    Research Assistant
    Center for Quality and Productivity Improvement
    University of Wisconsin-Madison

    Jason Stamm, MD
    Attending Physician, Division of Pulmonary and Critical Care Medicine
    Geisinger Medical Center, Danville, PA

    Brian Patterson, MD
    Faculty, School of Medicine and Public Health
    University of Wisconsin-Madison

    Yudi Wang
    Research Assistant
    Center for Quality and Productivity Improvement
    University of Wisconsin-Madison

    Douglas Wiegmann, PhD
    Associate Professor
    Industrial and Systems Engineering
    University of Wisconsin-Madison

    Emily Wirkus, MPH
    VTE Project Manager
    Center for Quality and Productivity Improvement
    University of Wisconsin-Madison

  • 2017

    Hundt, A.S., Carayon, P., Yang, Y., Stamm, J., Agrawal, V., Kleinschmidt, P., Hoonakker, P. (2017). Role Network Analysis of Team Interactions and Individual Activities: Application to VTE Prophylaxis Management. Proceedings of the HFES 2017 conference, Austin, TX, Oct 9-13, 2017, pp. 896-900.

    Hoonakker, P.L.T., Hundt, A.S., Asan, O., Valdez, R., Yang, Y. & Rivera, A.J. (2017). Designing Health Information Technology from a Human Factors Perspective. Proceedings of the ACE-ODAM 2017 International Symposium on Human Factors in Organizational Design and Management (ODAM) conference, Banff, Canada, July 31-Aug 3, 2017, pp. 532-537.

    Salwei, M., Carayon, P., Hundt, A.S., Hoonakker, P., Wirkus, E., Agrawal, V. , Stamm, J. (2017). Role Network Analysis of Critical Care Medicine Teams. Poster presented at the UW Health Quality Improvement Symposium, Madison, WI, May 11, 2017. Poster presented at the University of Wisconsin - Madison 6th Annual Symposium of Industrial Systems and Engineering Research, Design, and Practice, Madison, WI, Apr 19, 2017. Poster was awarded Industrial Systems and Engineering Research, Design, and Practice “Best Presentation and Discussion” award.

    Wang, Y., Carayon, P., Ravi, S., Hundt, A.S., Wiegmann, D., Patterson, B., Hoonakker, P., Wirkus, E. (2017). Role Network Analysis for Team Interactions and Individual Activities: Application to PE Diagnosis in the Emergency Department. Poster presented at the UW Health Quality Improvement Symposium, Madison, WI, May 11, 2017. Poster presented at the University of Wisconsin - Madison 6th Annual Symposium of Industrial Systems and Engineering Research, Design, and Practice, Madison, WI, Apr 19, 2017. Poster presented at the WIHSE Inaugural Conference, Madison, WI, Mar 16-17, 2017.

    2016

    Hoonakker, P.L.T., Du, S., Hundt, A.S., Stamm, J., Patterson, B., Carayon, P. (2016). Perceived Effectiveness of Clinical Decision Support to Improve VTE Prophylaxis: A Comparison of Physicicans, Pharmacists and Nurses. Poster presented at the AMIA conference, Chicago, IL, Nov 12-16, 2016. Poster was awarded an AMIA Distinguished Poster Award.

    Hundt, A.S., Hoonakker, P.L.T., Agrawal, V., Stamm, J., Patterson, B. & Carayon, P. (2016). Triggers in VTE Prophylaxis from a Sociotechnical System Perspective. Poster presented at the AMIA conference, Chicago, IL, Nov 12-16, 2016.

    Patterson, B., Otles, E., Hundt, A.S., Hoonakker, P.L.T., & Carayon, P. (2016). Cues for VTE Diagnosis in the Emergency Department: A Sociotechnical Systems Approach for Clinical Decision Support. Poster presented at the AMIA conference, Chicago, IL, Nov 12-16, 2016. Poster was nominated for the AMIA Distinguished Poster Awards.

    Gurses, A.P., Hundt, A.S., Steege, L., Valdez, R.S., Werner, N.E. (2016). Conceptualizing Sociotechnical System Boundaries in Healthcare Settings: Within and Across Teams, Organizations, Processes, and Networks. Paper presented at the HFES 2016 Annual Meeting, Washington, D.C., September 19-23, 2016.

    Li, Y., Carayon, P., Hundt, A.S., Hoonakker, P.L.T. (2016). Team interactions and health IT use during multidisciplinary rounds in three inpatient services. Proceedings of the HFES conference 2016, Washington, D.C., September 19-23, 2016., pp. 513-517.

    Li, Y., Carayon, P., Hundt, A.S., Hoonakker, P. (2016). Team Interactions and Health IT Use during Hospital Multidisciplinary Rounds. Paper presented at the HFES 2016 Annual Meeting, Washington, D.C., September 19-23, 2016.

    2015

    Carayon, P., Grepo, L., Patterson, B., Li, Y., Hundt, A.S., Cartmill, R.S., Hoonakker, P.L.T., Wood, K. (2015). Role Network Analysis of Venous Thromboembolism (VTE) Diagnosis in the Emergency Department. Paper presented at the ISCOME conference, Montecatini Terme, Italy, June 15-16, 2015.

    Hoonakker, P.L.T., Carayon, P., Cartmill, R.S., Hundt, A.S., Grepo, L., Li, Y., Stamm, J., Wood, K. (2015). Communication Strategies for Venous Thromboembolism Prophylaxis. Paper presented at the ISCOME conference, Montecatini Terme, Italy, June 15-16, 2015.

  • VTE Prophylaxis Risk Assessment Tool Survey: Physicians
    VTE Prophylaxis Risk Assessment Tool Survey: Nurses
    VTE Prophylaxis Risk Assessment Tool Survey: Pharmacists
    Multidisciplinary Rounds Observation Tool
    VTE prophylaxis – VTE Interview Guide

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