Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Venous Thrombosis III: Interprofessional Care01:29

Venous Thrombosis III: Interprofessional Care

471
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
471
Venous Thrombosis IV: Nursing Management01:30

Venous Thrombosis IV: Nursing Management

397
Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
397
Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care01:29

Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care

685
Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
685
Pulmonary Embolism III: Nursing Management01:27

Pulmonary Embolism III: Nursing Management

701
A pulmonary embolism occurs when a thrombus, amniotic fluid, tumor tissue, fat, or air embolus blocks one or more pulmonary arteries. Effective nursing management and patient education are crucial for improving outcomes and preventing recurrence.Nursing management starts with obtaining a comprehensive patient history, particularly noting any history of deep vein thrombosis (DVT). Assess for clinical manifestations, including dyspnea, chest pain, crackles, heart murmurs, and signs of right-sided...
701
Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies01:20

Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies

445
The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
445
Pulmonary Embolism I: Introduction01:29

Pulmonary Embolism I: Introduction

1.3K
Pulmonary embolism (PE) occurs when a thrombus, fat or air embolus, amniotic fluid, or tumor tissue blocks one or more pulmonary arteries. These blockages originate in the venous system or the right side of the heart.EtiologyPE primarily arises from deep vein thrombosis (DVT) and other hypercoagulable states, such as inherited thrombophilias. Additional etiological factors include venous stasis, commonly seen in obesity, and endothelial injury from surgery and trauma. Less common causes include...
1.3K

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Multisite Real-World Validation of an Electronic Health Record-Integrated Generative Artificial Intelligence Tool for Venous Thromboembolism Risk Stratification.

medRxiv : the preprint server for health sciences·2026
Same author

Cystic fibrosis and sickle cell disease associated with nonadministration of VTE prophylaxis in hospitalized adults.

Blood advances·2026
Same author

Implementing a Patient-Centered Education Bundle to Improve Venous Thromboembolism Prevention.

JAMA surgery·2025
Same author

Association of Enhanced Recovery After Surgery Implementation and Comparative Outcomes Improvement at an Academic Medical Center.

World journal of surgery·2025
Same author

Adverse effects of health plan prior authorization on clinical effectiveness and patient outcomes: A systematic review.

The American journal of medicine·2025
Same author

Inaccuracies of venous thromboembolism risk assessment and prevention practices among medically ill patients.

Blood advances·2025

Related Experiment Video

Updated: Apr 14, 2026

Point-Of-Care Ultrasound Screening for Proximal Lower Extremity Deep Venous Thrombosis
06:45

Point-Of-Care Ultrasound Screening for Proximal Lower Extremity Deep Venous Thrombosis

Published on: February 10, 2023

17.2K

ICD-9 Code-Based Venous Thromboembolism Performance Targets Fail to Measure Up.

Brandyn D Lau1, Elliott R Haut2, Deborah B Hobson3

  • 1The Johns Hopkins University School of Medicine, Baltimore, MD The Armstrong Institute for Patient Safety, Johns Hopkins Medicine, Baltimore, MD Johns Hopkins Bloomberg School of Public Health, Baltimore, MD blau2@jhmi.edu.

American Journal of Medical Quality : the Official Journal of the American College of Medical Quality
|April 23, 2015
PubMed
Summary

Hospital-associated venous thromboembolism (VTE) prevention practices need improvement. Using ICD-9 codes alone to identify VTE cases is inaccurate, leading to financial miscalculations and missed rewards for quality care.

Keywords:
ICD-9pay for performancequality improvementvenous thromboembolism

More Related Videos

An In vitro System to Gauge the Thrombolytic Efficacy of Histotripsy and a Lytic Drug
07:50

An In vitro System to Gauge the Thrombolytic Efficacy of Histotripsy and a Lytic Drug

Published on: June 4, 2021

3.3K
A Multicenter MRI Protocol for the Evaluation and Quantification of Deep Vein Thrombosis
10:26

A Multicenter MRI Protocol for the Evaluation and Quantification of Deep Vein Thrombosis

Published on: June 2, 2015

18.2K

Related Experiment Videos

Last Updated: Apr 14, 2026

Point-Of-Care Ultrasound Screening for Proximal Lower Extremity Deep Venous Thrombosis
06:45

Point-Of-Care Ultrasound Screening for Proximal Lower Extremity Deep Venous Thrombosis

Published on: February 10, 2023

17.2K
An In vitro System to Gauge the Thrombolytic Efficacy of Histotripsy and a Lytic Drug
07:50

An In vitro System to Gauge the Thrombolytic Efficacy of Histotripsy and a Lytic Drug

Published on: June 4, 2021

3.3K
A Multicenter MRI Protocol for the Evaluation and Quantification of Deep Vein Thrombosis
10:26

A Multicenter MRI Protocol for the Evaluation and Quantification of Deep Vein Thrombosis

Published on: June 2, 2015

18.2K

Area of Science:

  • Medical Quality Improvement
  • Health Services Research
  • Thrombosis Research

Background:

  • Venous thromboembolism (VTE) is a frequent complication in hospitalized patients.
  • Payers are increasingly focused on hospital-associated VTE as a preventable condition, implementing financial incentives/penalties.
  • Current VTE prevention practices require optimization to improve patient outcomes.

Purpose of the Study:

  • To evaluate the accuracy of ICD-9 codes in identifying hospital-associated, potentially preventable VTE cases.
  • To assess the financial implications of misclassified VTE events within a pay-for-performance program.
  • To identify more effective targets for VTE quality improvement initiatives.

Main Methods:

  • Retrospective review of hospital-associated VTE cases at Johns Hopkins Hospital (July 2010 - June 2011).
  • Cases were initially identified using ICD-9 codes from a state-run pay-for-performance program.
  • Radiographic confirmation was used to validate VTE events and assess preventability.

Main Results:

  • Out of 157 identified cases, only 92 (58.6%) had radiographically confirmed, potentially preventable VTE.
  • Misclassification of VTE events led to an overestimation of treatment costs by over $860,000.
  • An estimated $200,000 in potential rewards was lost due to inaccurate VTE identification in one year.

Conclusions:

  • ICD-9 codes possess a low positive predictive value for accurately identifying true VTE events.
  • Linking risk-appropriate prophylaxis to actual VTE outcomes is a more reliable metric for performance improvement.
  • Refining VTE surveillance and reporting mechanisms is crucial for effective quality improvement in healthcare settings.