Abstract
We sought to improve patient outcomes and efficiency in our anticoagulation clinic through development of a new protocol for managing heart valve patients with subtherapeutic international normalized ratio (INR) tests. The new protocol standardized use of 1 anticoagulation agent while warfarin was retitrated, timelines for INR retesting, and target INR levels depending on the type of valve implanted. The new protocol provided significant improvements in patient care; however, outcomes for clinic operating efficiency were mixed.
| Original language | English |
|---|---|
| Pages (from-to) | 161-70 |
| Number of pages | 10 |
| Journal | Journal of nursing care quality |
| Volume | 27 |
| Issue number | 2 |
| DOIs | |
| State | Published - 2012 |
Keywords
- Adult
- Aged
- Ambulatory Care Facilities/organization & administration
- Anticoagulants/therapeutic use
- Clinical Protocols/standards
- Efficiency, Organizational
- Female
- Heart Valve Prosthesis Implantation/nursing
- Humans
- International Normalized Ratio
- Male
- Middle Aged
- Nursing Administration Research
- Nursing Evaluation Research
- Pilot Projects
- Practice Patterns, Nurses'/organization & administration
- Quality Improvement/organization & administration
- Treatment Outcome
- Warfarin/therapeutic use
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