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Quality improvement: Adherence to nurse-driven heparin protocols
Chelsea Laughner1, Ryan Sentz, Alison Sabados
1Chelsea 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.
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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