Quality Improvement in an Anticoagulation Clinic – Assessment Answer

Project Design

The study by Heather et al. (2012) incorporated a pre-and post-intervention design that was conducted at a single anticoagulation clinic. The intervention consisted of the development and implementation of a new treatment protocol that could be used for the standardization of the process of adjustment of dosage and the incorporation of guidelines that were evidence-based. Data collection was based on multiple indicators of the performance of the new treatment protocol before and after its implementation for the evaluation of its effectiveness.

Intervention

The intervention comprised the development and implementation of a novel protocol for treatment. The new protocol encompassed an approach structured towards the adjustment of dosages depending on various attributes of the patient such as weight, age and other comorbidities, in addition to the regular monitoring of laboratory values and clinical assessment.

Findings/Results

The positive effects on all performance indicators were notable after the new protocol was carried out. The overall bleeding events were neither high nor significant statistically. The nursing time was longer in the pre-protocol than in the post-protocol period. However, the workflow interventions decreased significantly.

Nursing Implications/Impact on Healthcare

The study emphasized the importance of and need for the standardization of care processes and the incorporation of evidence-based guidelines for the enhancement of the quality of care received in anticoagulation clinics.

Strengths of the project

The comparison between the pre and post-intervention outcomes of the protocol adds to the reliability of the study.

The inclusion of various indicators of performance enabled to evaluate the degree to which the intervention was effective.

Limitations of the project

The small sample size limited the potential for analysis of the study.

The protocol was absent in 37% of the cases which raises a question on the consistency of implementation.

Reference

Carver, H. R., Studeny, M., Gress, T. W., & Wood, K. A. (2012). Quality improvement in an anticoagulation clinic: Development of a new treatment protocol. Journal of Nursing Care Quality, 27(2), 161-170. https://doi.org/10.1097/NCQ.0b013e31823e83fd

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