With the anticipated further devolution of anticoagulation services to primary care, the need for such benchmarking becomes more important. We will also need to deal with the issue of how to provide quality assurance for dosing for those patients undertaking self management. There are some doubts about the quality of data collection at a practice level because there were no reported events in half of the participating centres, although the observed event rates do agree with previously reported data.
National Center for Biotechnology Information , U. Journal List J Clin Pathol v. J Clin Pathol. Author information Article notes Copyright and License information Disclaimer. Accepted Mar This article has been cited by other articles in PMC. Abstract Aim: To establish and evaluate an external quality assessment scheme for warfarin dosing for users of a computerised decision support system, BAP-PC.
Keywords: anticoagulation management, computerised decision support systems, external quality assessment, quality control, warfarin.
Data used for the EQA process were as follows: The number of patients on warfarin who have had at least one consultation within the audit period. The number of serious and non-serious adverse events during the audit period. Table 1 Adverse events. Mean Range Adverse events 3. Open in a separate window. Table 2 Haemorrhagic and thromboembolic adverse events.
Haemorrhagic adverse events Thromboembolic adverse events Adverse events 33 0 Non-serious adverse events 29 0 Serious adverse events 4 0. Table 3 International normalised ratio control. Haematologica ; 86 — Baglin T. Decentralised anticoagulant care. Clin Lab Haematol ; 16 —9. Rose P. Audit of anticoagulant therapy. J Clin Pathol ; 49 Decision support in the United Kingdom in general practice: past, present and future.
Proceedings of the 8th Congress on Medical Informatics. Amsterdam: North-Holland —9. Computer control of anticoagulant dose for therapeutic management. BMJ ; —9. Experience with a computer-assisted anticoagulant clinic. Clin Lab Haematol ; 11 — A randomised control trial comparing primary care oral anticoagulant management utilising computerised decision support DSS and near patient testing NPT with traditional management. Family Pract ; 12 —4. Primary care anticoagulant clinic management using computerised decision support and near patient international normalised ratio INR testing: routine data from a practice nurse-led clinic.
Fam Pract ; 15 —6. Validation of a software system for anticoagulant dosing in primary care. Thrombus ; 5 :1—3. Validation of an algorithm for oral anticoagulant dosing and appointment scheduling. Because of the software application, the amount of time required by the centralized clinician is minimized, with no loss of clinical effectiveness. High time in therapeutic range, high degrees of organization, physician and patient satisfaction at a fraction of the cost of current anticoagulation services.
For more information contact us by phone at , or by email , or at our contact page. This will enable you to have access to a comprehensive set of statistics which can be tailored to meet a wide variety of needs, reducing hours of work. Since starting our Anticoagulant Clinic, the main hurdle we have had to overcome is that of extracting the appropriate data from our clinical software system in order to claim our quarterly PCT payments.
Hirumed have been able to customise the Crystal audit tool to extract from RAID Express our precise requirements, enabling us to set the parameters and produce instant comprehensive reports detailing not only relevant clinical information, but the dates of attendance during specific quarters, date of first attendance, and total attendance dates.
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