Email UpdatesArtifact Creation and Usage
Ronilda Lacson
Ramin Khorasani
Ali S. Raja
Louise Schneider
Michael Bakhtin
Mark Isabelle
Ivan Ip
This CDS artifact and related data specifications are owned and stewarded by the Brigham and Women's Hospital (BWH). BWH is not responsible for any use of the CDS artifact. BWH makes no representations, warranties, or endorsement about the quality of any organization or physician that uses this CDS artifact.
Structured code that is interpretable by a computer (includes data elements, value sets, logic)
The purpose of this CDS is to encourage ED providers to provide educational materials regarding recognizing symptoms of venous thromboembolism in patients with suspected pulmonary embolism for which CTPA is ordered. Educational materials are to be provided in paper or via a website.
Patients with suspected pulmonary embolism for which CT pulmonary angiogram (CTPA) is ordered
The tool is embedded in the EHR, triggered by an order for CTPA.
The CDS should only be used in patients with suspected pulmonary embolism for which CTPA is ordered. Educational materials are provided in paper form or via a website which may lead to inequitable access due to barriers in language, reading level, or computer access to the website.
A published study demonstrated that patients want to learn about the harm associated with venous thromboembolism (VTE) through a variety of methods, and most preferred to receive education in the context of a doctor-patient encounter. The next most common preference included paper educational materials.
Popoola VO, Lau BD, Shihab HM, Farrow NE, Shaffer DL, Hobson DB, et al. Patient Preferences for Receiving Education on Venous Thromboembolism Prevention - A Survey of Stakeholder Organizations. PLoS One. 2016;11(3):e0152084.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4816559/
For patients at risk for venous thromboembolism (VTE), physicians should deliver educational materials about VTE prevention. If unavailable, educational materials should be provided to patients on a paper or website.
not available
Strength of Evidence
Based on Oxford Grade (2011): Level 2 (Treatment benefits) - Randomized trial or observational study with dramatic effect
Oxford Centre for Evidence-Based Medicine website for strength of evidence: https://www.cebm.ox.ac.uk/resources/levels-of-evidence/ocebm-levels-of-evidence
Source: Harvard Medical School Library of Evidence. Sign-up for access: https://libraryofevidence.med.harvard.edu/app/library.
Harvard Medical School website: https://libraryofevidence.hms.harvard.edu/
Provider orders CT pulmonary angiogram (CTPA)
Patients with suspected pulmonary embolism for which CTPA is ordered.
Patients under 18.
Physicians should deliver educational materials about venous thromboembolism. If a physician is unavailable, educational materials should be provided on a paper or website.
None