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Variation in the incidence and timing of diagnosis of hospital-associated venous thromboembolism using linked administrative data.

Joanne M StubbsHassan AssarehJennifer CurnowKerry HitosHelen M Achat
Published in: Internal medicine journal (2019)
Venous thromboembolism (VTE) is a potentially preventable adverse effect of hospitalisation. Inter-hospital variation in the incidence of hospital-associated VTE (HA-VTE) and timing of diagnosis (in-hospital or post-discharge) in New South Wales public hospitals were examined. Large variations in incidence (22% risk difference) and post-discharge diagnosis (115% odds difference) were evident after adjustment for case mix, which only explained 59% and 32% of inter-hospital variation respectively. The need for improved compliance with best practice guidelines is reinforced.
Keyphrases
  • venous thromboembolism
  • healthcare
  • adverse drug
  • direct oral anticoagulants
  • acute care
  • risk factors
  • primary care
  • quality improvement
  • atrial fibrillation
  • drug induced