Prescribing Practices

High prescribers were significantly more concerned about patients developing VTE in the absence of prophylaxis compared to low prescribers. Both low and high prescribers endorsed the same directional beliefs, with differences lying in the strength rather than the direction of those beliefs. High prescribers agreed with the RAM far less frequently than low prescribers, with only 11.6% of high prescribers vs 43.0% of low prescribers agreeing with the RAM more than 75% of the time. Prescribing patterns largely matched recognised physiological functions of the nutrients being prescribed. Patient-demand prescribing contrasts with evidence-based principles that recommend supplementation when clinically indicated. The key differentiator between high and low prescribers is how they weight the competing risks of VTE without prophylaxis versus harm from unnecessary prophylaxis. Most healthcare professionals considered patients' dietary habits before prescribing MVMs. Many healthcare professionals prescribed MVMs based on patient demand. 37% of RAM-identified low-risk patients received VTE prophylaxis, indicating widespread overtreatment at the study institution. Most healthcare professional…