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Improving the safety and efficacy of warfarin therapy in a metropolitan private hospital: A multidisciplinary practice improvement project
Citation
Duff, J and Walker, KN, Improving the safety and efficacy of warfarin therapy in a metropolitan private hospital: A multidisciplinary practice improvement project, Contemporary Nurse: A Journal for The Australian Nursing Profession, 35, (2) pp. 234-244. ISSN 1037-6178 (2010) [Refereed Article]
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Copyright 2012 eContent Management
Official URL: http://www.contemporarynurse.com/archives/vol/35/i...
DOI: doi:10.5172/conu.2010.35.2.234
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.
Item Details
Item Type: | Refereed Article |
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Keywords: | Venous Thromboembolism; Implementation research |
Research Division: | Health Sciences |
Research Group: | Health services and systems |
Research Field: | Health services and systems not elsewhere classified |
Objective Division: | Health |
Objective Group: | Clinical health |
Objective Field: | Clinical health not elsewhere classified |
UTAS Author: | Duff, J (Dr Jed Duff) |
UTAS Author: | Walker, KN (Professor Kim Walker) |
ID Code: | 86976 |
Year Published: | 2010 |
Web of Science® Times Cited: | 3 |
Deposited By: | Health Sciences B |
Deposited On: | 2013-11-04 |
Last Modified: | 2014-06-05 |
Downloads: | 0 |
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