Anticoagulation Quality Improvement Project: Reducing Noncompliant Anticoagulation Administrations in Patients With Cancer and Thrombocytopenia

BACKGROUND: Anticoagulation and thrombocytopenia are common among patients with cancer. OBJECTIVES: Multiple interventions were implemented to reduce nursing noncompliance with anticoagulation platelet parameter orders in adult patients and increase the percentage of orders with specified hold parameters. METHODS: Hold parameters and pop-up alerts were implemented in the electronic health record to reduce administration noncompliance. FINDINGS: Preintervention, there were an average of 37 noncompliant events per month, which decreased to 0.7 postintervention. Orders with hold parameters increased from 28% to nearly 100%. Multiple interventions within the electronic health record increased anticoagulant orders with a platelet hold parameter and decreased the number of administrations below those specified parameters.