PMID- 15334862 OWN - NLM STAT- MEDLINE DCOM- 20041104 LR - 20190917 IS - 0277-0008 (Print) IS - 0277-0008 (Linking) VI - 24 IP - 8 Pt 2 DP - 2004 Aug TI - Unfractionated heparin: a nursing dilemma. PG - 156S-160S AB - Nurses face challenges in all aspects of their practice, especially with administering and monitoring drugs in a safe, effective manner. Key factors known to affect drug administration include general drug knowledge, formal nurse education, continuing education needs, clinical experience, and the nationwide nursing shortage. Other factors are advances in technologic aids and quality improvement initiatives. Emphasis on patient safety is growing, especially as it relates to drug therapy and high-alert drugs such as unfractionated heparin (UFH). Specific interventions related to UFH administration can enhance patient care management. Because nurses are at the site of direct patient care, they are often in an opportune position for identifying medication errors. At the same time, and most important, nurses need to collaborate with other health care professionals to actively develop solutions to minimize these errors. Adopting a systems approach and working collaboratively with an interdisciplinary team can result in improved patient outcomes. FAU - Oertel, Lynn B AU - Oertel LB AD - Anticoagulation Management Services, Massachusetts General Hospital, Boston, Massachusetts 02114, USA. loertel@partners.org CN - Heparin Consensus Group LA - eng PT - Journal Article PT - Review PL - United States TA - Pharmacotherapy JT - Pharmacotherapy JID - 8111305 RN - 0 (Fibrinolytic Agents) RN - 9005-49-6 (Heparin) SB - IM MH - Education, Nursing MH - Fibrinolytic Agents/*adverse effects/therapeutic use MH - Heparin/*adverse effects/therapeutic use MH - Medication Errors/*prevention & control MH - Nursing Care/*organization & administration MH - Quality Assurance, Health Care/organization & administration RF - 14 EDAT- 2004/09/01 05:00 MHDA- 2004/11/05 09:00 CRDT- 2004/09/01 05:00 PHST- 2004/09/01 05:00 [pubmed] PHST- 2004/11/05 09:00 [medline] PHST- 2004/09/01 05:00 [entrez] AID - 10.1592/phco.24.12.156s.36111 [doi] PST - ppublish SO - Pharmacotherapy. 2004 Aug;24(8 Pt 2):156S-160S. doi: 10.1592/phco.24.12.156s.36111.