Challenges and benefits of an inpatient anticoagulation service: One hospital's experience

Journal of Thrombosis and Thrombolysis

Volumn 31, Issue 3, 2011, Pages 344-352

  Burnett, Allison ^a   D'Angio, Richard ^a   Earl, Laura E ^b   Garcia, David ^c  

^a UNIVERSITY OF NEW MEXICO HOSPITAL   (United States)

^b UNIVERSITY OF NEW MEXICO HEALTH SCIENCES CENTER   (United States)

^c UNIVERSITY OF NEW MEXICO   (United States)

Author keywords

Anticoagulation; Guidelines; Inpatient; Pharmacist; Safety; Warfarin

Indexed keywords

ANTICOAGULANT THERAPY; CLINICAL PHARMACY; CLINICAL PROTOCOL; CONFERENCE PAPER; DECENTRALIZATION; HEALTH CARE DELIVERY; HEALTH CARE PLANNING; HOSPITAL CARE; HOSPITAL PHARMACY; MEDICAL DOCUMENTATION; PATIENT MONITORING; PERFORMANCE MEASUREMENT SYSTEM; PRACTICE GUIDELINE; PRIORITY JOURNAL; PUBLIC RELATIONS; RESOURCE MANAGEMENT; STAFF TRAINING; THROMBOSIS PREVENTION; UNITED STATES; UNIVERSITY HOSPITAL;

ANTICOAGULANTS; FEMALE; HOSPITALS, UNIVERSITY; HUMANS; INPATIENTS; MALE; MONITORING, PHYSIOLOGIC; RISK FACTORS; SAFETY;

EID: 79958170370     PISSN: 09295305     EISSN: 1573742X     Source Type: Journal    
DOI: 10.1007/s11239-011-0563-z     Document Type: Conference Paper

References (17)

1. Ansell J, Hirsh J, Hylek E, Jacobson A, Crowther M, Palareti G et al (2008) Pharmacology and management of the vitamin K antagonists: American college of chest physicians evidence-based clinical practice guidelines (8th edition). Chest 133(6 Suppl):160S-198S
2. National patient safety goals [homepage on the Internet] (2010). Available from: http://www.jointcommission.org/standards-information/npsgs.aspx
3. Phillips KW, Wittkowsky AK (2007) Survey of pharmacist-managed inpatient anticoagulation services. Am J Health Syst Pharm 64(21):2275-2278 (Pubitemid 350086192)
4. Dager WE, Branch JM, King JH, White RH, Quan RS, Musallam NA et al (2000) Optimization of inpatient warfarin therapy: impact of daily consultation by a pharmacist-managed anticoagulation service. Ann Pharmacother 34(5):567-572 (Pubitemid 30257481)
5. Dager WE, Gulseth MP (2007) Implementing anticoagulation management by pharmacists in the inpatient setting. Am J Health Syst Pharm 64(10):1071-1079 (Pubitemid 46801539)
6. Bond CA, Raehl CL (2004) Pharmacist-provided anticoagulation management in United States hospitals: death rates, length of stay, medicare charges, bleeding complications, and transfusions. Pharmacotherapy 24(8):953-963 (Pubitemid 39025194)
7. Donovan JL, Drake JA, Whittaker P, Tran MT (2006) Pharmacy-managed anticoagulation: assessment of in-hospital efficacy and evaluation of financial impact and community acceptance. J Thromb Thrombolysis 22(1):23-30 (Pubitemid 43922998)
8. Medicare and Medicaid move aggressively to encourage greater patient safety in hospitals and reduce never events (2008). www.cms.gov: Center for Medicare and Medicaid Services [updated 31 July 2008]. Available from: http://www.cms.gov/apps/media/press/release.asp?Counter=3219&intNumPerPage= 10&checkDate=&checkKey=&srchType=1&numDays=3500&srchOpt= 0&srchData=&keywordType=All&chkNewsType=1%2C?2%2C?3%2C?4%2C? 5&intPage=&showAll=&pYear=&year=&desc=&cboOrder=date
9. Garcia DA, Witt DM, Hylek E, Wittkowsky AK, Nutescu EA, Jacobson A et al (2008) Delivery of optimized anticoagulant therapy: consensus statement from the anticoagulation forum. Ann Pharmacother 42(7):979-988
10. Gulseth MP (2007) Managing anticoagulation patients in the hospital. American Society of Health-System Pharmacists, Bethesda
11. Hirsh J, Guyett G, Albers G, Schunemann HJ (2004) Proceedings of the seventh ACCP conference on antithrombotic and thrombolytic therapy: evidence-based guidelines. Chest 126(3 Suppl):172S-696S
12. Wittkowsky AK, Spinler SA, Dager W, Gulseth MP, Nutescu EA (2010) Dosing guidelines, not protocols, for managing warfarin therapy. Am J Health Syst Pharm 67(18):1554-1556
13. Rich DS (2010) Joint commission's requirements for warfarin dosing guidelines. Am J Health Syst Pharm 67(18):1557
14. Reporting hospital quality data for annual payment update [homepage on the Internet] (2010). www.cms.gov; [updated 9 Sep 2010]. Available from: http://www.cms.gov/HospitalQualityInits/08-HospitalRHQDAPU.asp
15. Lankshear A, Harden J, Lowson K (2010) A baseline study of anticoagulant management in UK hospitals. Qual Saf Health Care 19(4):295-297
16. Viercinski J, Thomson L, Wilson J, Merli GJ (2008) Establishing an inpatient anticoagulation service: A step by step review. J Thromb Thrombolysis 25(1):67-71
17. Wong YM, Quek YN, Tay JC, Chadachan V, Lee HK (2010) Efficacy and safety of a pharmacist-managed inpatient anticoagulation service for warfarin initiation and titration. J Clin Pharm Ther. doi:10.1111/j.1365-2710.2010.01216. x