Improving Patient Compliance With Dual Antiplatelet Therapy

Banner Del E. Webb Medical Center (Sun City West, Arizona)

CSI Summary

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Project Topic

Compliance with dual antiplatelet therapy

CSI Participants

Heather Barajas, RN, BSN
Colleen Behrens, RN, CCRN, RCIS
Ana Fuentes, RN, BSN
Carmencita Noe, RN, BSN

Project Goals/Objectives

  1. Educate 100 percent of the nursing staff on the cardiac progressive care unit
  2. Develop discharge instructions specific to dual antiplatelet therapy
  3. Complete follow-up phone calls to assure compliance
  4. Decrease the acute myocardial infarction (AMI) readmission rate 2 percent

Project Outcomes

  1. Educated entire nursing staff on the cardiac progressive care unit
  2. Documented completion of dual antiplatelet education in 75 percent of patients
  3. Completed discharge phone calls confirming retention of education and compliance with medication regime
  4. Reduced AMI readmission rate 3.4 percent
  5. These outcomes resulted in an estimated fiscal impact of $110,116.

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The AACN CSI Academy program supports change projects based on quality improvement methods. Although CSI teams seek to ensure linkage between their project and clinical/fiscal outcomes, data cannot be solely attributed to the project and are estimations of impact.