A retrospective assessment comparing pharmacist-managed anticoagulation clinic with physician management using international normalized ratio stability

To assess the rates of therapeutic international normalized ratio (INR) levels between pharmacist-managed clinics compared to traditional physician-management and to determine the variation in rates of therapeutic INR levels between pharmacist-managed clinic data compared to physician-management. Re...

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Bibliographic Details
Published in:Journal of thrombosis and thrombolysis 2011-11, Vol.32 (4), p.426-430
Main Authors: Garton, Lauren, Crosby, Joseph F.
Format: Article
Language:English
Subjects:
Ambulatory Care Facilities - manpower
Ambulatory Care Facilities - standards
Anticoagulants - therapeutic use
Cardiology
Data Collection
Hematology
Humans
International Normalized Ratio - statistics & numerical data
Medicine
Medicine & Public Health
Pharmacists
Physicians
Practice Management - standards
Practice Management - statistics & numerical data
Retrospective Studies
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Summary:To assess the rates of therapeutic international normalized ratio (INR) levels between pharmacist-managed clinics compared to traditional physician-management and to determine the variation in rates of therapeutic INR levels between pharmacist-managed clinic data compared to physician-management. Retrospective, randomized, chart review. Referral only, outpatient, pharmacist based anticoagulation clinic under a community based tertiary care health system. Sixty-four patients with at least 1 year’s worth of visits to the pharmacist managed clinic were reviewed for INR stability. The average percentage of visits within the defined therapeutic range, was 71.1% for the physician-managed group versus 81.1% for the pharmacist-managed group ( P  
ISSN:0929-5305
1573-742X
DOI:10.1007/s11239-011-0612-7