A quality improvement project decreases incidence of pulmonary embolism following arthroplasty.

Eid, Iyad; Moran, Dane; Morrison, Lynn; HajHussein, Eyad; Hill, Hanna; Ansari, Rasha; Williams, Tammy; Manzary, Mojieb · J Orthop · 2018

prospective_cohort · Level II

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Abstract

To develop a quality improvement initiative to reduce the incidence of pulmonary embolism (PE) following elective lower extremity joint replacement surgery. 866 Patients undergoing a total knee or total or partial hip replacement surgery at a from 2014 to 2016 were included in this prospective pre-post interventional study. There were 13 PE's before the intervention and 2 after the intervention. The incidence of PE was significantly higher prior to the intervention (2.8% vs. 0.7%; p = 0.044). Our results suggest that our bundle of interventions was successfully implemented and helped to reduce the incidence of pulmonary embolism following surgery.