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Updated: Feb 8, 2026

Rapid Point-of-Care Assay of Enoxaparin Anticoagulant Efficacy in Whole Blood
Published on: October 12, 2012
Anticoagulation Quality Improvement Project: Reducing Noncompliant Anticoagulation Administrations in Patients With
Katy M Toale1, Ryan Scanlan2, Jesni Anne Mathew3
1Katy M. Toale.
Background:
Anticoagulation and thrombocytopenia are common among patients with cancer.
Objectives:
Multiple interventions were implemented to reduce nursing noncompliance with anticoagulation platelet parameter orders in adult patients and increase the percentage of orders with specified hold parameters.
Methods:
Hold parameters and pop-up alerts were implemented in the electronic health record to reduce administration noncompliance.
Findings:
Preintervention, there were an average of 37 noncompliant events per month, which decreased to 0.7 postintervention. Orders with hold parameters increased from 28% to nearly 100%. Multiple interventions within the electronic health record increased anticoagulant orders with a platelet hold parameter and decreased the number of administrations below those specified parameters.
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