Home >  News >  June, 2014

The Secret to Fewer Post-operative Deep-Vein Blood Clots

Prevention program leads to an 84% drop in the rate of DVT.

Published: June 2, 2014

In what could be a model for other surgical facilities, a coordinated, multi-faceted, 2-year effort to reduce blood clots at Boston (Mass.) Medical Center succeeded in reducing deep venous thromboses (DVT) by 84% and pulmonary emboli by 55%, the American College of Surgeons reports.

Along with urging patients to walk 3 times a day, including on the day of surgery, if possible, the program incorporated an analysis of risk factors such as age, obesity, smoking, bed confinement, personal and family history, and length of operation.

Along with the need for early mobilization, electronic physician orders specified a requirement to score patient risk, to provide appropriate preventive treatment based on risk scores and, for high-risk patients, continuing treatment once patients were home. Risk-based prophylaxis included inflatable pressure boots and low doses of blood thinners. Patients were also educated about the importance of preventing blood clots.

Comparing the 2 years before the program was implemented with the 2 years that followed, the frequency of DVT declined from 1.9% of 1,569 patients to 0.3% of 1,323 patients, and the frequency of pulmonary emboli dropped from 1.1% of 1,569 patients to 0.5% of 1,323 patients.

Jim Burger


Also in the News...

Neurosurgeon Driven by Greed Gets 20-Year Prison Sentence
Million-Dollar Lawsuit Claims Surgical Fire Ruined 86-Year-Old Woman's Life
Prosecutor: New England Compounding Center President Viewed Company as His "Personal ATM Machine"
UnitedHealth Acquires Surgical Care Affiliates in $2.3 Billion Deal
Trial to Begin for Pharmacist Linked to Deadly Fungal Meningitis Outbreak
FDA: Battery-Powered Mobile Medical Carts Could Be a Fire Hazard
Trendelenburg Patient's Fall Leads to Long Legal Battle

New to Outpatient Surgery Magazine?
Sign-up to continue reading this article.
Register Now
Have an account? Please log in:
Email Address:
  Remember my login on this computer

advertiser banner

Other Articles That May Interest You

My Son Did Not Have to Die

Learn from the avoidable opioid-induced hypoxia that took his life.

Safety: Fine Tune Your Time Outs

4 ways to encourage your staff to speak up to prevent an error.

A New Way to Think About Retained Items

Studies on the psychology of counting helped shape AORN's updated prevention guideline.