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Getting patients on board with VTE prophylaxis

A bundle to educate patients about venous thromboembolism (VTE) included a 10-minute video of patients' stories and in-person support from a nurse educator.

Where: The Johns Hopkins Hospital, a 1,000-bed academic medical center in Baltimore.

The issue: Administering venous thromboembolism (VTE) prophylaxis as prescribed.

Background: Hospitalists know the importance of medications for VTE prophylaxis, but 12.7 per cent of prescribed doses were not administered in a study of 75 patients at Johns Hopkins Hospital, published in March 2018 by the American Journal of Health-System Pharmacy. Because the most commonly cited reason for non-administration was patient refusal, the Johns Hopkins VTE Collaborative decided to tackle the problem with patient education.

"Our first step was to ask patients what they wanted to learn," said Elliott R. Haut, MD, PhD, vice chair of quality, safety, and service in the department of surgery at Johns Hopkins Medicine. After collecting patient input, the research group developed a patient education bundle composed of a two-page form about blood-clot prevention, a 10-minute video of patients' stories (shown on a hospital tablet, the TV, or a patient's personal device), and in-person support from a nurse educator... (Frost, 2019)