Original ArticlesUsing an Institute Model to Reduce the Incidence of Venous Thromboembolism Within a Large Hospital SystemLeininger, Susan MSN; Rinaldi, John MD; Hite Philip, Frances MS; Birdsong, Edward L. MD, FAAOS Author Information Quality Department (Ms Leininger), Orthopedic Department (Dr Rinaldi), and Department of Research (Mr Hite Philip), Allegheny General Hospital, Pittsburgh, Pennsylvania; and Department of Orthopaedic Surgery, Hand, Upper Extremity, and Microvascular Surgery, Allegheny Health Network, Pittsburgh, Pennsylvania, and Drexel University College of Medicine, Philadelphia, Pennsylvania (Dr Birdsong). Correspondence: Susan Leininger, MSN, Allegheny General Hospital, 320 East North Ave, 12th Floor South Tower, Pittsburgh, PA 15212 ([email protected]). The authors have disclosed that they have no significant relationships with, or financial interest in, any commercial companies pertaining to this article. Critical Care Nursing Quarterly 45(4):p 307-316, October/December 2022. | DOI: 10.1097/CNQ.0000000000000422 Buy Metrics Abstract Internal benchmarking showed that the Orthopedic Institute had an above average rate of venous thromboembolism (VTE) along with other institutes. The Orthopedic VTE Quality Team was assigned to investigate opportunities for improvement to share with other institutes. To investigate the issues and barriers to the administration of chemical and mechanical VTE prophylaxis, data collection included real-time point prevalence study, physician and nursing surveys, and electronic medical record audits. The results of the data collection indicated inconsistencies in nursing and patient care. Therefore a VTE policy and VTE educational poster was developed. In conjunction, nursing education will be completed to describe the best practice for sequential compression devices and anticoagulant therapies and documentation. The physician will be notified for refusals on either mechanical or chemical prophylaxis. © 2022 Wolters Kluwer Health, Inc. All rights reserved.