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Public Health Webinar Series on Blood Disorders: Prevention of Venous Thromboembolism

Presenter:  Michael B. Streiff, MD, FACP

Associate Professor of Medicine and Pathology

Associate Faculty, Armstrong Institute for Patient Safety and Quality

Medical Director, Johns Hopkins Anticoagulation Management Service and Outpatient Clinics

Medical Director, Special Coagulation Laboratory            

Senior Consultant, Johns Hopkins Comprehensive Hemophilia Treatment Center               

Johns Hopkins Medical Institutions

Venous thromboembolism (VTE) is an important public health issue and a significant cause of illness and death.  VTE results in nearly 100,000 premature deaths in the United States annually with healthcare costs as high as $10 billion. Effective VTE prophylaxis or prevention practices, such as the use of mechanical compression devices or anticoagulant medications, can reduce the risk of VTE by 60%.

Improving VTE prevention has been the focus of many performance improvement initiatives. The Johns Hopkins Hospital examined its performance in VTE prevention in 2005. To improve VTE prevention performance, the Johns Hopkins Venous Thromboembolism Collaborative was formed with support from the Center for Patient Safety and Quality Care and hospital leadership.

Effective VTE prevention requires the following:

  • Prescription of risk-appropriate VTE prophylaxis by the provider.
  • Delivery of prophylaxis by the nurse.
  • Acceptance of prophylaxis by the patient.

The Johns Hopkins VTE Collaborative investigated strategies to improve every step in this process. To improve performance in ordering risk-appropriate prophylaxis, the VTE Collaborative developed evidence-based clinical decision support order sets.   These clinical decision support tools guide providers in the ordering process for VTE prophylaxis. The order sets are specialty-specific, mandatory, and risk-appropriate, and allow for monitoring and guidance of prevention practice improvement.  In addition, the Johns Hopkins VTE Collaborative developed nurse and patient educational programs to enhance compliance.

In this webinar, Dr. Streiff will discuss the following:

  • The Johns Hopkins experience in VTE prevention.
  • Observed barriers and practical solutions for implementing quality improvement.
  • The needs and future directions for VTE prevention.

The lessons learned from this VTE Collaborative can be readily applied to any patient safety or quality improvement project.

Learning Objectives:

  • List three strategies for VTE prevention.
  • Describe the development and implementation of electronic order sets and their impact on improving VTE prevention performance.
  • Describe strategies to improve provider performance for VTE prevention.

To register for this webinar, please visit:  http://bit.ly/2jBG4SG

This webinar series provides evidence-based information on new research, interventions, emerging issues of interest in blood disorders, as well as innovative approaches in collaborations and partnerships. For more information, please contact Cynthia Sayers at cay1@cdc.gov.