Bedside steps

1. 1
   Padua medical VTE risk

   Stratifies VTE risk in medical inpatients (often ≥4 = higher risk; still weigh bleed risk and prophylaxis type).

   Open Padua →
2. 2
   IMPROVE-VTE risk

   Alternate medical VTE model—cross-check with Padua when helpful.

   Open IMPROVE-VTE →
3. 3
   IMPROVE bleeding risk

   Estimates bleeding risk relevant to pharmacologic prophylaxis vs mechanical options.

   Open IMPROVE bleed →
4. 4
   Caprini (surgical branch)Alternate branch

   Use for surgical/perioperative patients instead of (or in addition to) medical scores.

   Open Caprini (surgical) →

[VTE prophylaxis assessment]
Pathway: □ medical  □ surgical
Padua: __ (stratum: __)
IMPROVE-VTE: __ (stratum: __)
IMPROVE bleed: __ (stratum: __)
Caprini (if surgical): __ (stratum: __)
Plan: □ pharmacologic  □ mechanical  □ both  □ defer (reason: __)
Cautions: __
Clinician: __  Date: __

For licensed clinicians only. Local calculation; does not replace clinical judgment or individualized shared decision-making. Integrate guideline version, patient preference, and bleed–thrombosis trade-offs.