Venous thromboembolism morbidity and mortality of hospitalized patients is a major concern for health professionals. Venous thromboembolism prevention guidelines have been developed, however adherence to guidelines is variable. The aim of this study was to measure adherence to a nurse-led evidence based venous thromboembolism prevention program (intervention) compared to usual care in hip and knee arthroplasty patients and associated clinical outcomes. Method: There were 410 potential participants who were adult patients???