| Sumario: | Patients with obesity have decreased mobility and are at g reater risk for venous thromboembolism post-surgical discharge. Pulmonary embolus/deep venous thromboembolism composite increased from 0.45% to 2.7% in post-surgical bariatric population at our institution. This quality improvement project implemented Plan-Do-Study-Act cycles to address the issue. Bariatric surgical patients were discharged home with compression devices, sleeves, and router for 30-day intervention. Descriptive statistics of wear time, out of bed, upright time, and steps were performed. Eleven participants activated devices wearing sleeves for 3-27 days. Longest 1-day wear time was 23 hours, 20 minutes. For 27%, sleeves were worn for median 12 hours; in bed, 8 hours 23 minutes; upright time, 1 hour, 47 minutes; steps 463, with highest daily step count 3714. Participants discharged home with compression devices activated, wore, and returned devices. The majority wore sleeves > 5 hours; however, 45% of participants wore sleeves < 3 days. No participants experienced a pulmonary embolus or deep vein thrombosis within 30 days following bariatric surgery. While the process was efficacious, further enhancement of wear-time compliance is needed.
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