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2022 Stronger - P132 - Stepwise Approach Improves Performance Using an INR-Based Metric - On Demand
In 2017, an international normalized ratio (INR)-based metric was added to our scorecard, specifying that an INR greater than or equal to five in patients who received at least three doses of warfarin is associated with an unacceptable risk of bleeding. This study evaluated the effects of a multidisciplinary team developing and implementing multiple clinical decision support and standard operating procedures in a stepwise manner on the INR metric performance. We achieved a 55.2% improvement in our qualifying event rate (4.55% versus 2.04%) and an 89.4% improvement in our rank among comprehensive academic medical center peers (66 versus seven).
Target Audience
- Healthcare Quality Professionals
- Nurses
- Pharmacists
- Pharmacy Technicians
- Physicians
- Other Healthcare Professionals
Learning Objectives
Explain team-based clinical decision support strategies to improve patient outcomes related to acute INR elevation management.
Outline the stepwise implementation outcomes of clinical decision support and standard operating procedures by a multidisciplinary group using an INR-based metric.
Additional Information
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Faculty
Stephen Lemon, PharmD, FCCM, BCCCP, BCPS, Clinical Pharmacy Specialist, Informatics, Quality, and Data Analytics, University of Florida Health Shands Hospital, Gainesville, FL
Disclosure
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Credit Types
Nurses (CNE)
Vizient, Inc. designates this enduring material for a maximum of 0.50 ANCC contacts hours.
Pharmacists (CPE)
Vizient, Inc. designates this enduring material for a maximum of 0.50 contact hours for Pharmacists.
Universal Activity Number: Insert
Pharmacy Technicians (CPE)
Vizient, Inc. designates this enduring material for a maximum of 0.50 contact hours for pharmacy technicians.
Universal Activity Number: Insert
Physicians (CME)
Vizient, Inc. designates this enduring material for a maximum of 0.50 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Healthcare Quality Professionals (CPHQ)
This activity is approved by NAHQ® for 0.50 CPHQ CE credits.
Other Healthcare Professionals (General CE Credit)
Vizient, Inc. will award a maximum of 0.50 contact hours to all other healthcare professionals who successfully complete the activity. These individuals will receive a Certificate of Participation indicating the maximum credits available.
Many state licensing boards and credentialing bodies accept certificates of participation from accredited CE activities to meet CE requirements for license renewals and re-certification. It is the responsibility of the participant to contact their state licensing board and/or certifying body for verification on credit eligibility reciprocity.
Available Credit
- 0.50 ACPE Pharmacist
- 0.50 ACPE Pharmacy Technician
- 0.50 AMA PRA Category 1 Credit™
- 0.50 ANCC
- 0.50 CPHQ – Certified Professional Healthcare Quality
- 0.50 General CE - Attendance