In medicine, the quality and safety movement attempts to improve processes of care through careful measurement and application of industrial quality improvement techniques. When outcomes are publicly reported or tied to reimbursement, hospitals’ ability to improve their performance has been impressive. On the other hand, choosing what to measure has been more challenging, and several measures that were formerly tied to reimbursement have been revised or rescinded. Moreover, quality measures have rarely allowed for personalization, such as adjusting hemoglobin A1C targets for age or mammography rates for patient preference. In this issue of JAMA Internal Medicine, Flanders et al1 report on one such measure that should be entirely personalized—venous thromboembolism (VTE) prophylaxis.
Rothberg MB. Venous Thromboembolism Prophylaxis for Medical PatientsWho Needs It?. JAMA Intern Med. 2014;174(10):1585-1586. doi:10.1001/jamainternmed.2014.3357