PMID- 31022035 OWN - NLM STAT- MEDLINE DCOM- 20190523 LR - 20190523 IS - 1538-8689 (Electronic) IS - 0360-4039 (Linking) VI - 49 IP - 5 DP - 2019 May TI - Quality improvement: Adherence to nurse-driven heparin protocols. PG - 66-69 LID - 10.1097/01.NURSE.0000554212.71309.d1 [doi] AB - 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. FAU - Laughner, Chelsea AU - Laughner C AD - Chelsea Laughner, Ryan Sentz, and Alison Sabados are clinical pharmacists at WellSpan York Hospital in York, Pa. Also at WellSpan York Hospital, Danielle Feil is a clinical nurse specialist, and Amy Seitz Cooley is the director of nursing excellence. FAU - Sentz, Ryan AU - Sentz R FAU - Sabados, Alison AU - Sabados A FAU - Feil, Danielle AU - Feil D FAU - Cooley, Amy Seitz AU - Cooley AS LA - eng PT - Clinical Trial PT - Journal Article PL - United States TA - Nursing JT - Nursing JID - 7600137 RN - 9005-49-6 (Heparin) MH - Adult MH - *Clinical Protocols MH - Heparin/*administration & dosage MH - Hospitals, Community MH - Hospitals, Teaching MH - Humans MH - Medication Adherence/*statistics & numerical data MH - Nursing Evaluation Research MH - *Practice Patterns, Nurses' MH - *Quality Improvement MH - Retrospective Studies EDAT- 2019/04/26 06:00 MHDA- 2019/05/24 06:00 CRDT- 2019/04/26 06:00 PHST- 2019/04/26 06:00 [entrez] PHST- 2019/04/26 06:00 [pubmed] PHST- 2019/05/24 06:00 [medline] AID - 00152193-201905000-00018 [pii] AID - 10.1097/01.NURSE.0000554212.71309.d1 [doi] PST - ppublish SO - Nursing. 2019 May;49(5):66-69. doi: 10.1097/01.NURSE.0000554212.71309.d1.