Redesign of a weight-based heparin protocol for improved outcomes in a community hospital
Heparin has long been used to minimize complications of a variety of disorders and reaching a therapeutic level within 24 hours has been shown to improve patient outcomes. However, the dosing of heparin to reach a therapeutic level has been controversial. At our institution a weight based heparin no...
Gespeichert in:
| Veröffentlicht in: | Journal of nursing care quality 2003-07, Vol.18 (3), p.193-201 |
|---|---|
| Hauptverfasser: | , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 201 |
|---|---|
| container_issue | 3 |
| container_start_page | 193 |
| container_title | Journal of nursing care quality |
| container_volume | 18 |
| creator | Stahl, Kathy L Pollard, Deborah L |
| description | Heparin has long been used to minimize complications of a variety of disorders and reaching a therapeutic level within 24 hours has been shown to improve patient outcomes. However, the dosing of heparin to reach a therapeutic level has been controversial. At our institution a weight based heparin nomogram was in place, however an initial data analysis revealed a large percent of the initial aPTT levels were above therapeutic range. This article will describe the performance improvement process and the overall goal to decrease the percentage of patients exceeding the initial therapeutic aPTT levels without compromising daily therapeutic aPTT levels. |
| doi_str_mv | 10.1097/00001786-200307000-00005 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_73525652</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>73525652</sourcerecordid><originalsourceid>FETCH-LOGICAL-c283t-542bebd0b6f5e951debb91ebb2b22e3f1641a5ab033f1b861dd034a0fd747bed3</originalsourceid><addsrcrecordid>eNpdkE1LxDAQhoMo7rr6FyR48BbNR5O0R1n8ggVB9OCpJM10t0vb1KZV9t-bdVcF55B5Z_LMMLwIYUavGM30NY3BdKoIp1RQHSuybckDNGVSUiKpkodRU6mJUIJN0EkI60jwlLFjNGE8lSqjYorensFBqJYt9iU2-BOq5Wog1gRweAWd6asWd70ffOFrXPoeV00sP-KvH4fCNxBwJAyOshnbatjglQ9dNZj6FB2Vpg5wts8z9Hp3-zJ_IIun-8f5zYIUPBUDkQm3YB21qpSQSebA2ozFh1vOQZRMJcxIY6mI2qaKOUdFYmjpdKItODFDl7u98a73EcKQN1UooK5NC34MuRaSSyV5BC_-gWs_9m28LeeUKc250BFKd1DR-xB6KPOurxrTb3JG8633-Y_3-a_33y0ZR8_3-0fbgPsb3JstvgCFKH_L</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>201672237</pqid></control><display><type>article</type><title>Redesign of a weight-based heparin protocol for improved outcomes in a community hospital</title><source>MEDLINE</source><source>Journals@Ovid Complete</source><creator>Stahl, Kathy L ; Pollard, Deborah L</creator><creatorcontrib>Stahl, Kathy L ; Pollard, Deborah L</creatorcontrib><description>Heparin has long been used to minimize complications of a variety of disorders and reaching a therapeutic level within 24 hours has been shown to improve patient outcomes. However, the dosing of heparin to reach a therapeutic level has been controversial. At our institution a weight based heparin nomogram was in place, however an initial data analysis revealed a large percent of the initial aPTT levels were above therapeutic range. This article will describe the performance improvement process and the overall goal to decrease the percentage of patients exceeding the initial therapeutic aPTT levels without compromising daily therapeutic aPTT levels.</description><identifier>ISSN: 1057-3631</identifier><identifier>EISSN: 1550-5065</identifier><identifier>DOI: 10.1097/00001786-200307000-00005</identifier><identifier>PMID: 12856903</identifier><language>eng</language><publisher>United States: Lippincott Williams & Wilkins Ovid Technologies</publisher><subject>Anticoagulants - administration & dosage ; Anticoagulants - adverse effects ; Body Weight ; Clinical outcomes ; Clinical Protocols - standards ; Drug Monitoring - methods ; Drug Monitoring - standards ; Heparin - administration & dosage ; Heparin - adverse effects ; Hospitals ; Hospitals, Community - standards ; Humans ; Medical Audit ; Models, Organizational ; Nursing ; Outcome and Process Assessment (Health Care) - organization & administration ; Partial Thromboplastin Time ; Prescription drugs ; Professional Staff Committees - organization & administration ; Retrospective Studies ; Total Quality Management - organization & administration ; West Virginia</subject><ispartof>Journal of nursing care quality, 2003-07, Vol.18 (3), p.193-201</ispartof><rights>Copyright Aspen Publishers, Inc. Jul-Sep 2003</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c283t-542bebd0b6f5e951debb91ebb2b22e3f1641a5ab033f1b861dd034a0fd747bed3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12856903$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Stahl, Kathy L</creatorcontrib><creatorcontrib>Pollard, Deborah L</creatorcontrib><title>Redesign of a weight-based heparin protocol for improved outcomes in a community hospital</title><title>Journal of nursing care quality</title><addtitle>J Nurs Care Qual</addtitle><description>Heparin has long been used to minimize complications of a variety of disorders and reaching a therapeutic level within 24 hours has been shown to improve patient outcomes. However, the dosing of heparin to reach a therapeutic level has been controversial. At our institution a weight based heparin nomogram was in place, however an initial data analysis revealed a large percent of the initial aPTT levels were above therapeutic range. This article will describe the performance improvement process and the overall goal to decrease the percentage of patients exceeding the initial therapeutic aPTT levels without compromising daily therapeutic aPTT levels.</description><subject>Anticoagulants - administration & dosage</subject><subject>Anticoagulants - adverse effects</subject><subject>Body Weight</subject><subject>Clinical outcomes</subject><subject>Clinical Protocols - standards</subject><subject>Drug Monitoring - methods</subject><subject>Drug Monitoring - standards</subject><subject>Heparin - administration & dosage</subject><subject>Heparin - adverse effects</subject><subject>Hospitals</subject><subject>Hospitals, Community - standards</subject><subject>Humans</subject><subject>Medical Audit</subject><subject>Models, Organizational</subject><subject>Nursing</subject><subject>Outcome and Process Assessment (Health Care) - organization & administration</subject><subject>Partial Thromboplastin Time</subject><subject>Prescription drugs</subject><subject>Professional Staff Committees - organization & administration</subject><subject>Retrospective Studies</subject><subject>Total Quality Management - organization & administration</subject><subject>West Virginia</subject><issn>1057-3631</issn><issn>1550-5065</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkE1LxDAQhoMo7rr6FyR48BbNR5O0R1n8ggVB9OCpJM10t0vb1KZV9t-bdVcF55B5Z_LMMLwIYUavGM30NY3BdKoIp1RQHSuybckDNGVSUiKpkodRU6mJUIJN0EkI60jwlLFjNGE8lSqjYorensFBqJYt9iU2-BOq5Wog1gRweAWd6asWd70ffOFrXPoeV00sP-KvH4fCNxBwJAyOshnbatjglQ9dNZj6FB2Vpg5wts8z9Hp3-zJ_IIun-8f5zYIUPBUDkQm3YB21qpSQSebA2ozFh1vOQZRMJcxIY6mI2qaKOUdFYmjpdKItODFDl7u98a73EcKQN1UooK5NC34MuRaSSyV5BC_-gWs_9m28LeeUKc250BFKd1DR-xB6KPOurxrTb3JG8633-Y_3-a_33y0ZR8_3-0fbgPsb3JstvgCFKH_L</recordid><startdate>20030701</startdate><enddate>20030701</enddate><creator>Stahl, Kathy L</creator><creator>Pollard, Deborah L</creator><general>Lippincott Williams & Wilkins Ovid Technologies</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>U9A</scope><scope>7X8</scope></search><sort><creationdate>20030701</creationdate><title>Redesign of a weight-based heparin protocol for improved outcomes in a community hospital</title><author>Stahl, Kathy L ; Pollard, Deborah L</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c283t-542bebd0b6f5e951debb91ebb2b22e3f1641a5ab033f1b861dd034a0fd747bed3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Anticoagulants - administration & dosage</topic><topic>Anticoagulants - adverse effects</topic><topic>Body Weight</topic><topic>Clinical outcomes</topic><topic>Clinical Protocols - standards</topic><topic>Drug Monitoring - methods</topic><topic>Drug Monitoring - standards</topic><topic>Heparin - administration & dosage</topic><topic>Heparin - adverse effects</topic><topic>Hospitals</topic><topic>Hospitals, Community - standards</topic><topic>Humans</topic><topic>Medical Audit</topic><topic>Models, Organizational</topic><topic>Nursing</topic><topic>Outcome and Process Assessment (Health Care) - organization & administration</topic><topic>Partial Thromboplastin Time</topic><topic>Prescription drugs</topic><topic>Professional Staff Committees - organization & administration</topic><topic>Retrospective Studies</topic><topic>Total Quality Management - organization & administration</topic><topic>West Virginia</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Stahl, Kathy L</creatorcontrib><creatorcontrib>Pollard, Deborah L</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of nursing care quality</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Stahl, Kathy L</au><au>Pollard, Deborah L</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Redesign of a weight-based heparin protocol for improved outcomes in a community hospital</atitle><jtitle>Journal of nursing care quality</jtitle><addtitle>J Nurs Care Qual</addtitle><date>2003-07-01</date><risdate>2003</risdate><volume>18</volume><issue>3</issue><spage>193</spage><epage>201</epage><pages>193-201</pages><issn>1057-3631</issn><eissn>1550-5065</eissn><abstract>Heparin has long been used to minimize complications of a variety of disorders and reaching a therapeutic level within 24 hours has been shown to improve patient outcomes. However, the dosing of heparin to reach a therapeutic level has been controversial. At our institution a weight based heparin nomogram was in place, however an initial data analysis revealed a large percent of the initial aPTT levels were above therapeutic range. This article will describe the performance improvement process and the overall goal to decrease the percentage of patients exceeding the initial therapeutic aPTT levels without compromising daily therapeutic aPTT levels.</abstract><cop>United States</cop><pub>Lippincott Williams & Wilkins Ovid Technologies</pub><pmid>12856903</pmid><doi>10.1097/00001786-200307000-00005</doi><tpages>9</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1057-3631 |
| ispartof | Journal of nursing care quality, 2003-07, Vol.18 (3), p.193-201 |
| issn | 1057-3631 1550-5065 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_73525652 |
| source | MEDLINE; Journals@Ovid Complete |
| subjects | Anticoagulants - administration & dosage Anticoagulants - adverse effects Body Weight Clinical outcomes Clinical Protocols - standards Drug Monitoring - methods Drug Monitoring - standards Heparin - administration & dosage Heparin - adverse effects Hospitals Hospitals, Community - standards Humans Medical Audit Models, Organizational Nursing Outcome and Process Assessment (Health Care) - organization & administration Partial Thromboplastin Time Prescription drugs Professional Staff Committees - organization & administration Retrospective Studies Total Quality Management - organization & administration West Virginia |
| title | Redesign of a weight-based heparin protocol for improved outcomes in a community hospital |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-13T06%3A41%3A43IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Redesign%20of%20a%20weight-based%20heparin%20protocol%20for%20improved%20outcomes%20in%20a%20community%20hospital&rft.jtitle=Journal%20of%20nursing%20care%20quality&rft.au=Stahl,%20Kathy%20L&rft.date=2003-07-01&rft.volume=18&rft.issue=3&rft.spage=193&rft.epage=201&rft.pages=193-201&rft.issn=1057-3631&rft.eissn=1550-5065&rft_id=info:doi/10.1097/00001786-200307000-00005&rft_dat=%3Cproquest_cross%3E73525652%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=201672237&rft_id=info:pmid/12856903&rfr_iscdi=true |