Deborah B. Hobson

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PROBLEM Venous thromboembolism (VTE) is a common cause of potentially preventable mortality, morbidity, and increased medical costs. Risk-appropriate prophylaxis can prevent most VTE events, but only a small fraction of patients at risk receive this treatment. DESIGN Prospective quality improvement programme. SETTING Johns Hopkins Hospital, Baltimore,(More)
BACKGROUND Recent studies have documented high rates of non-administration of ordered venous thromboembolism (VTE) prophylaxis doses. Intervention strategies that target all patients have been effective, but prohibitively resource-intensive. We aimed to identify efficient intervention strategies based on patterns of non-administration of ordered VTE(More)
BACKGROUND The goals of quality improvement are to partner with patients and loved ones to end preventable harm, continuously improve patient outcomes and experience, and eliminate waste, yet few programs have successfully worked on of all these in concert. STUDY DESIGN We evaluated implementation of a pathway designed to improve patient outcomes, value,(More)
Background Aggressive intravenous fluid replacement regimens are traditionally employed with the intention of protecting patients from perioperative decreases in renal blood flow. In contrast to these regimens, Enhanced Recovery Pathways (ERPs) often employ in-traoperative goal-directed fluid therapy and postoperative fluid restriction with permissive(More)
IMPORTANCE Venous thromboembolism (VTE) is a major cause of morbidity and mortality among hospitalized patients and is largely preventable. Strategies to decrease the burden of VTE have focused on improving clinicians' prescribing of prophylaxis with relatively less emphasis on patient education. OBJECTIVE To develop a patient-centered approach to(More)
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