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March 26, 2021

Looking at the definition for us to pick up a DVT there is no timeframe as to when it would be considered present on admit or does someone specifically have to say “present on admit”. The scenario I have a patient was admitted on 3/10 and at that time considered a high risk for DVT. She was ordered heparin but refused. Patient came back in 3/16 at 1150 but no mention of DVT was documented. For some reason an ultrasound was ordered and done on 3/16 at 2230 and a DVT was found. So because this patient had no documentation of DVT on admit, this is a hospital event?

Unless you have documentation that suggests the DVT was present on admission, you will capture DVT as a hospital event as long as the definition is met. Note, the patient must also be treated with anticoagulation therapy and/or placement of a vena cava filter or clipping of the vena cava in order to capture the DVT hospital event.

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