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Synapse
February 9, 2026Clinical journal of oncology nursing0 citations

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

KTKaty M. ToaleRSRyan ScanlanJMJesni Anne Mathew

Key Points

  • This project aims to improve compliance in anticoagulation administrations for cancer patients experiencing thrombocytopenia.
  • Implemented multiple interventions within the electronic health record.
  • Monitored noncompliant anticoagulation events before and after the intervention.
  • Increased the orders with hold parameters for platelet counts.
  • Reduced average noncompliant events from 37 per month to 0.7 post-intervention.
  • Increased percentage of orders with hold parameters from 28% to nearly 100%.

Abstract

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.

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Cite This Study

Toale et al. (2026) studied this question.

synapsesocial.com/papers/698979e9f0ec2af6756e7f74https://doi.org/10.1188/26.cjon.33-40
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Enhancing adherence to guideline-directed use of anticoagulant therapy in atrial fibrillation: a triad of quality improvement interventions in an academic outpatient setting2026
  2. 2Multilevel Stewardship Intervention for Use of Anticoagulation-Antiplatelet Therapy2026
  3. 3Anticoagulation Management: A New Approach2006 · 23 citations
  4. 4The Efficacy and Safety of Oral Anticoagulation in Patients with Cancer1995 · 102 citations
  5. 5Multidisciplinary initiative to improve inpatient anticoagulation and management of venous thromboembolism2014 · 14 citations