Quality improvement: Adherence to nurse-driven heparin protocols.

Nursing

Chelsea Laughner, Ryan Sentz, and Alison Sabados are clinical pharmacists at WellSpan York Hospital in York, Pa. Also at WellSpan York Hospital, Danielle Feil is a clinical nurse specialist, and Amy Seitz Cooley is the director of nursing excellence.

Published: May 2019

Purpose: This study assessed the impact of process standard work, a quality improvement tool, on staff adherence to nurse-driven unfractionated heparin (UFH) protocols in adult patients at a community teaching hospital.

Methods: This was a retrospective quality improvement project, and statistical analysis was performed by a senior research specialist at the facility.

Results: In total, 109 venous thromboembolism or cardiac UFH anticoagulant protocols were included in the final analysis, accounting for 445 activated partial thromboplastin time results.

Conclusion: There was no change in adherence to a nurse-driven UFH protocol among adult patients after the implementation of process standard work.

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Source
http://dx.doi.org/10.1097/01.NURSE.0000554212.71309.d1DOI Listing

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