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Related Concept Videos

Venous Thrombosis III: Interprofessional Care01:29

Venous Thrombosis III: Interprofessional Care

Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies01:20

Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies

The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
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Venous Thrombosis IV: Nursing Management

Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
Varicose Veins II: Diagnostic Studies and Interprofessional Care01:26

Varicose Veins II: Diagnostic Studies and Interprofessional Care

Varicose veins, or varicosities, develop when the valves in the veins, which control blood flow, weaken or damage. It causes blood to pool and the veins to enlarge. Understanding the clinical manifestations, diagnostic approaches, and management options for varicose veins is crucial for effective treatment and relief.Clinical manifestationsClinical manifestations of varicose veins include a heavy, achy feeling or pain after prolonged standing or sitting. This discomfort can often be relieved by...
Clinical Trials: Overview01:11

Clinical Trials: Overview

Clinical development focuses on how the drug will interact with the human body and encompasses four key phases of clinical trials, each serving a specific purpose in assessing the safety and effectiveness of new drugs. These phases overlap and build upon one another. Phase I involves a small group of healthy volunteers (typically 20-80 individuals) or, in cases where significant toxicity is expected, patients with the targeted disease, such as cancer or AIDS. The volunteers are tested for...
Standards of Care II01:19

Standards of Care II

Nurses bear specific legal responsibilities under several federal statutes, including:

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Updated: May 23, 2026

Using Simulation Models to Train Clinicians in the Use of Point-of-Care Ultrasound
05:04

Using Simulation Models to Train Clinicians in the Use of Point-of-Care Ultrasound

Published on: August 9, 2024

Using Clinical Vignettes to Evaluate VTE Protocol Adherence.

Krista Todoric1, Erik Lehman, Michael J Beck

  • 1Lehigh Valley Health System, Penn State University, USA.

Journal of Clinical Medicine Research
|April 17, 2012
PubMed
Summary
This summary is machine-generated.

Repetitive exposure to an electronic tool for venous thromboembolism (VTE) risk assessment did not improve resident reliability but did enhance protocol adherence. Under-prophylaxis decreased, yet over-prophylaxis increased, highlighting educational opportunities.

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A Multicenter MRI Protocol for the Evaluation and Quantification of Deep Vein Thrombosis
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Published on: June 2, 2015

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Last Updated: May 23, 2026

Using Simulation Models to Train Clinicians in the Use of Point-of-Care Ultrasound
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A Multicenter MRI Protocol for the Evaluation and Quantification of Deep Vein Thrombosis
10:26

A Multicenter MRI Protocol for the Evaluation and Quantification of Deep Vein Thrombosis

Published on: June 2, 2015

Area of Science:

  • Internal Medicine
  • Medical Education
  • Patient Safety

Background:

  • Venous thromboembolism (VTE) prophylaxis is often underutilized in hospitalized medical patients.
  • This underutilization may stem from variations in resident practices when using complex risk assessment tools.

Purpose of the Study:

  • To evaluate the impact of repeated exposure to an electronic, point-based VTE risk assessment tool on resident inter-rater reliability and adherence to VTE prophylaxis protocols.

Main Methods:

  • A pre- and post-intervention cross-sectional cohort study was conducted at a single academic center.
  • Internal Medicine residents assessed clinical vignettes before and after using an electronic VTE risk assessment tool with reminder alerts.
  • Assessments included risk stratification, contraindication identification, and VTE prevention strategy determination.

Main Results:

  • Inter-rater reliability for VTE risk assessment did not change; however, reliability for VTE planning improved (Kappa from 0.28 to 0.37).
  • Protocol adherence increased from 71% to 79% (P=0.06).
  • Significant decreases in under-prophylaxis (22% to 6%) and increases in over-prophylaxis (7% to 16%) were observed.

Conclusions:

  • Daily exposure to the electronic VTE risk assessment tool did not enhance resident inter-rater reliability for the risk assessment tool itself, potentially due to the complexity of the tool for less experienced providers.
  • While overall adherence improved and under-prophylaxis decreased, over-prophylaxis increased.
  • Clinical vignettes serve as a valuable method for monitoring resident practices and identifying areas for educational and process improvements in VTE prophylaxis.