An audit of anticoagulant management to assess anticoagulant control using decision support software

An audit of anticoagulant management to assess anticoagulant control using decision support software

OBJECTIVE To evaluate the effectiveness of a computerised self-adjusting anticoagulant algorithm to predict appropriate warfarin dosing and to assess its use in clinical practice. DESIGN A 3-year audit of anticoagulant control in patients managed by doctors and pharmacists using computer decision support and an evaluation of the impact of dose adjustments made by the users. PARTICIPANTS 366...

Audit of anticoagulant therapy.

Clinical Benefits of an Embedded Decision Support System in Anticoagulant Control

Computer-based decision support (CDSS) systems can deliver real patient care and increase chances of long-term survival in areas of chronic disease management prone to poor control. One such CDSS, for the management of warfarin, is described in this paper and the outcomes shown. Data is derived from the running system and show a performance consistently around 20% better than the applicable gui...

Evaluation of anticoagulant control in a pharmacist operated anticoagulant clinic.

AIMS To compare the quality of outpatient anticoagulant control before and after the transfer of dosing responsibility to designated trained pharmacists from rotating junior medical staff. METHODS All International Normalised Ratio (INR) values for an eight month period either side of the staff changeover were assessed for precision of therapeutic control according to described standards. All...

Personalized anticoagulant management using reinforcement learning

Introduction: There are many problems with current state-of-the-art protocols for maintenance dosing of the oral anticoagulant agent warfarin used in clinical practice. The two key challenges include lack of personalized dose adjustment and the high cost of monitoring the efficacy of the therapy in the form of International Normalized Ratio (INR) measurements. A new dosing algorithm based on th...