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A patient-focused pathway for ambulatory anticoagulation care
1Department of Nursing, West Los Angeles Veterans Administration Medical Center, CA, USA.
Journal of Nursing Care Quality
|December 1, 1996
Summary
Effective anticoagulation management requires careful patient monitoring. A new multidisciplinary anticoagulation pathway improved patient care and clarified the nurse
Area of Science:
- Clinical Nursing
- Pharmacology
- Patient Safety
Background:
- Anticoagulation therapy necessitates vigilant monitoring to prevent severe bleeding or thrombosis.
- Nurse-run clinics, established in the 1980s, aimed to support chronic anticoagulation management but faced systemic challenges.
- Existing systems often caused frustration for both healthcare providers and patients.
Purpose of the Study:
- To describe the development of an improved anticoagulation pathway.
- To enhance patient service and outcomes in anticoagulation management.
- To clarify and strengthen the role of nurses within the anticoagulation service.
Main Methods:
- Multidisciplinary team collaboration at a medical center.
- Development and implementation of a new anticoagulation pathway.
- Evaluation of patient service and nursing roles within the pathway.
Main Results:
- The new anticoagulation pathway led to improved patient service.
- The nurse's role in anticoagulation management was clarified and strengthened.
- Systemic issues previously frustrating for nurses and patients were addressed.
Conclusions:
- Multidisciplinary involvement is key to optimizing anticoagulation services.
- A well-defined anticoagulation pathway enhances patient care and nurse empowerment.
- Improved processes reduce complications and improve patient satisfaction.