Electronic Alert System for Improving Thromboprophylaxis in Hospitalized Medical Patients
Electronic Alert System for Improving Thromboprophylaxis in Hospitalized Medical Patients
The investigators aim to investigate whether a computer-based alert system in the electronic
 patient chart and order entry system using the Geneva Risk Score as clinical decision support
 tool to estimate the risk of venous thromboembolism improves the rate of appropriate
 thromboprophylaxis among hospitalized medical patients.
The use of thromboprophylaxis among acutely ill hospitalized medical patients remains
 inconsistent. The present study aims to improve the use of appropriate thromboprophylaxis by
 implementing a computer-based alert system combined with a Geneva Risk Score calculation tool
 in the electronic patient chart and order entry system. Consecutive acutely ill medical
 patients without indication for therapeutic anticoagulation or ongoing therapeutic
 anticoagulant treatment admitted to the medical wards of the University Hospital Bern,
 Switzerland, will be randomized in a 1:1 fashion to the alert group in which an alert and the
 Geneva Risk Score calculation tool will be issued in the electronic patient chart or to the
 control group in which no alert will be issued. The primary endpoint is the rate of
 appropriate thromboprophylaxis during hospital stay.
Inclusion Criteria:

 -  Acutely ill medical patients admitted to medical wards

 Exclusion Criteria:

 -  Indication for therapeutic anticoagulation or ongoing therapeutic anticoagulant
 treatment