TEAM ENHANCES BARIATRIC SURGICAL PATIENTS POST-DISCHARGE MOBILITY REDUCING VENOUS THROMBOEMBOLISM RISK: A QUALITY IMPROVEMENT PROJECT.

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 i...

Descripción completa

Detalles Bibliográficos
Publicado en:International Journal of Safe Patient Handling & Mobility (SPHM) Vol. 16; no. 2; pp. 30 - 38
Autores principales: Turrentine, Florence E., Wood, Leslie S., Pickral, Justin, Passerini, Heather M., Maitland, Hillary S.
Formato: pictorial research tables/charts Journal Article
Publicado: Visioning Publishers, LLC Jun2026
Acceso en línea:Ver este registro en EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=195387480&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 195387480
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        25720562
        L3AI
      jtl: International Journal of Safe Patient Handling & Mobility (SPHM)
      issn: 25720562
      maglogo: N
    pubinfo:
      dt: Jun2026
      vid: 16
      iid: 2
      pid: 87959
      pub: Visioning Publishers, LLC
      place: Sarasota, Florida
    artinfo:
      ui:
        195387480
        195387480
        195387480
        195387480
      ppf: 30
      ppct: 8
      formats:
        fmt:
          @attributes:
            type: P
      tig:
        atl: TEAM ENHANCES BARIATRIC SURGICAL PATIENTS POST-DISCHARGE MOBILITY REDUCING VENOUS THROMBOEMBOLISM RISK: A QUALITY IMPROVEMENT PROJECT.
      aug:
        au:
          Turrentine, Florence E.
          Wood, Leslie S.
          Pickral, Justin
          Passerini, Heather M.
          Maitland, Hillary S.
        affil: Professor of Surgery at the University of Virginia
      sug:
        subj:
          Bariatric Surgery Nursing
          Early Ambulation
          Postoperative Care
          Venous Thromboembolism Prevention and Control
          Physical Mobility
          Quality Improvement
          Postoperative Complications
          Compression Garments Utilization
          Human
          Funding Source
          United States
          Male
          Female
          Multimethod Studies
          Patient Compliance
          Obesity Surgery
          Immobility
          Home Health Care
          Remote Patient Monitoring
          Telehealth
          Patient Education
          Program Evaluation
          Pilot Studies
          Pulmonary Embolism Prevention and Control
          Venous Thrombosis Prevention and Control
          Patient Satisfaction
          Interviews
          Comorbidity
          Convenience Sample
          Gastroesophageal Reflux
          Body Mass Index
          Hypertension
          Laparoscopy
          Male
          Female
      ab: 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.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N