Preventing Hospital-Acquired Venous Thromboembolism

Pulmonary embolism resulting from deep vein thrombosis—collectively referred to as venous thromboembolism—is the most common preventable cause of hospital death. Pharmacologic methods to prevent venous thromboembolism are safe, effective, cost-effective, and advocated by authoritative guidelines, yet large prospective studies continue to demonstrate that these preventive methods are significantly underused. Based on quality improvement initiatives undertaken at the University of California, San Diego Medical Center and Emory University Hospitals, this guide assists quality improvement practitioners in leading an effort to improve prevention of one of the most important problems facing hospitalized patients, hospital-acquired venous thromboembolism.

This project was funded under grant number Grant No. 1U18 HS015826-01 from the Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services.

Prepared by: Society of Hospital Medicine; Greg Maynard M.D., M.Sc. University of California, San Diego Medical Center; and Jason Stein, M.D., Emory University Hospitals. 



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Chapter 1. Take Essential First Steps

Chapter 2. Lay Out the Evidence and Identify Best Practices

Chapter 3. Analyze Care Delivery

Chapter 4. Track Performance With Metrics

Chapter 5. Layer Interventions

Chapter 6. Continue to Improve



Appendix A. Talking Points to Attract Administration Support for Venous Thromboembolism Prevention Programs

Appendix B. Sample Venous Thr omboembolism Protocol/Order Set

Appendix C. Suggested Reading for Venous Thromboembolism Protocol Development

Appendix D. Chart Audit Form 44




For manuscript review, we also are deeply indebted to Kathleen Kerr, Tina Budnitz, and the members of the Hospital Quality and Patient Safety Committee of the Society of Hospital Medicine. 

Disclaimer and Copyright Information

No investigators have any affiliations or financial involvement (e.g., employment, consultancies, honoraria, stock options, expert testimony, grants or patents received or pending, or royalties) that conflict with material presented in this report.

This document is in the public domain and may be used and reprinted without special permission. Citation of the source is appreciated.

Ordering Information

This guide (AHRQ Publication Number 08-0075) can be ordered through the Publications Clearinghouse by calling 800-358-9295. From outside the United States, call 703-437-2078. Toll-free TDD services for the hearing impaired are available by calling 888-586-6340. Email requests for AHRQ Publication Number 08-0075 may be made to Mailed requests can be sent to AHRQ Publications Clearinghouse, Re: AHRQ Publication No. 08-0075, P.O. Box 8547, Silver Spring, MD 20907.

Page last reviewed October 2014
Internet Citation: Preventing Hospital-Acquired Venous Thromboembolism. October 2014. Agency for Healthcare Research and Quality, Rockville, MD.