J Clin Med Res

Journal of Clinical Medicine Research, ISSN 1918-3003 print, 1918-3011 online, Open Access

Article copyright, the authors; Journal compilation copyright, J Clin Med Res and Elmer Press Inc

Journal website http://www.jocmr.org

Original Article

Volume 4, Number 2, April 2012, pages 87-94

Using Clinical Vignettes to Evaluate VTE Protocol Adherence

Figure

Figure 1. Point-based VTE protocol.

Tables

**Table 1.** Comparison of Appropriate Resident Risk Assessments From 2008 to 2010
Appropriate Risk Assessment	2008	2010	P-value
Appropriate Risk Assessment	N = 469	N = 524	P-value
Low	87%	85%	0.74
Moderate	57%	74%	< 0.0001
High	59%	78%	< 0.0001
Overall	65%	78%	0.015

**Table 2.** Comparison of Appropriate Prophylaxis Planning From 2008 to 2010
Prophylaxis Plan	2008	2010	P-value
Prophylaxis Plan	N = 469	N = 524	P-value
Under-prophylaxis	22%	6%	< 0.0001
Appropriate	71%	79%	0.06
Over-prophylaxis	7%	16%	0.0013

**Table 3.** Comparison of Guideline Adherence From 2008 to 2010
Risk Category	2008	2010	P-value
Risk Category	N = 469	N = 524	P-value
Low Risk	85%	68%	0.036
Moderate Risk	62%	70%	0.197
High Risk	69%	92%	< 0.001

**Table 4.** Comparison of Resident Kappa Scores From 2008 to 2010
	Year	Overall	Interns (R1)	R2	R3/R4
Risk	2008	0.51	0.47	0.61
Risk	2010	0.51	0.45	0.50	0.54
VTE plan	2008	0.28	0.23	0.35
VTE plan	2010	0.37	0.33	0.36	0.39
CI	2008	0.50	NA	NA
CI	2010	0.58	0.54	0.57	0.65