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activated partial thromboplastin time, process standard work, unfractionated heparin



  1. Laughner, Chelsea PharmD
  2. Sentz, Ryan PharmD, BCPS
  3. Sabados, Alison PharmD, BCCCP
  4. Feil, Danielle MS, RN, AGCNS-BC
  5. Cooley, Amy Seitz DNP, RN, ACNS-BC


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.