Key result
Implementation of process standard work resulted in no change in staff adherence to a nurse-driven unfractionated heparin protocol among adult patients.
Why the study?
This study assessed the impact of process standard work, a quality improvement tool, on staff adherence to nurse-driven unfractionated heparin protocols in adult patients at a community teaching hospital.
Does process standard work improve staff adherence to nurse-driven unfractionated heparin protocols in adult patients?
Observational (n=109)
No
Does process standard work improve staff adherence to nurse-driven unfractionated heparin protocols in adult patients?
The implementation of process standard work did not improve staff adherence to nurse-driven unfractionated heparin protocols in a community teaching hospital setting.
Process standard work did not enhance nurse-driven UFH protocol adherence; leaves open whether alternative strategies warrant prospective evaluation.
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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Laughner et al. (2019) conducted an observational in Venous thromboembolism or cardiac conditions requiring unfractionated heparin (n=109). Process standard work vs. Pre-implementation was evaluated on Staff adherence to nurse-driven unfractionated heparin (UFH) protocols. Implementation of process standard work resulted in no change in staff adherence to a nurse-driven unfractionated heparin protocol among adult patients.
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