Improving the safety and efficacy of warfarin therapy in a metropolitan private hospital : A multidisciplinary practice improvement project
Journal article
Duff, Jed and Walker, Kim. (2010). Improving the safety and efficacy of warfarin therapy in a metropolitan private hospital : A multidisciplinary practice improvement project. Contemporary Nurse. 35(2), pp. 234-244. https://doi.org/10.5172/conu.2010.35.2.234
Authors | Duff, Jed and Walker, Kim |
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Abstract | Background: Warfarin is a very complex, high risk therapy and one that carries the potential for severe adverse events. The aim of this project was to improve warfarin management through the application of the best available evidence. The project was undertaken in a 250 bed acute care metropolitan private hospital. Interventions: A suite of evidence-based interventions were used including audit and feedback, patient and provider education, and decision support aides. Measures: This project used the ongoing collection of warfarin process and outcome clinical indicator data to measure improvement. Results: Compliance with loading protocol increased by 12% (42–54%); patient education prior to discharge increased by 54% (31–85%); INRs > 5 decreased by 2.6% (3.7–1.1%); and abnormal bleeds fell by 1.2% (1.2–0%). Conclusion: This multifaceted suite of interventions was successful in influencing clinician behaviour and improving compliance with evidence-based warfarin guidelines. |
Keywords | nursing; warfarin; quality and safety; practice improvement; knowledge transfer; multidisciplinary collaboration; statistical process control charts |
Year | 2010 |
Journal | Contemporary Nurse |
Journal citation | 35 (2), pp. 234-244 |
Publisher | Taylor & Francis |
ISSN | 1037-6178 |
Digital Object Identifier (DOI) | https://doi.org/10.5172/conu.2010.35.2.234 |
Scopus EID | 2-s2.0-79952198905 |
Open access | Published as green open access |
Page range | 234-244 |
Research Group | School of Nursing, Midwifery and Paramedicine |
Author's accepted manuscript | License File Access Level Open |
Publisher's version | License All rights reserved File Access Level Controlled |
Output status | Published |
Publication dates | |
Online | 17 Dec 2014 |
Publication process dates | |
Accepted | 14 Dec 2009 |
https://acuresearchbank.acu.edu.au/item/867wv/improving-the-safety-and-efficacy-of-warfarin-therapy-in-a-metropolitan-private-hospital-a-multidisciplinary-practice-improvement-project
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Author's accepted manuscript
AM_Duff_2010_Improving_the_safety_and_efficacy_of.pdf | |
License: CC BY-NC-ND 4.0 | |
File access level: Open |
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