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Documentation of warfarin education provided to hospital patients: A clinical audit
Graduate School of Medicine - Papers (Archive)
  • Sayeed Nasser, University Of Sydney
  • Romana Cecchele
  • Simone Touma
  • Priscilla Han
  • Kim Nair
  • Jason Vizgoft, University of Sydney
  • Veronica Murdoch, Wollongong Hospital
  • Judy Mullan, University of Wollongong
  • Beata Bajorek, University Of Technology Sydney
RIS ID
61830
Publication Date
1-1-2012
Publication Details

Nasser, S., Cecchele, R., Touma, S., Han, P., Nair, K., Vizgoft, J., Murdoch, V., Mullan, J. & Bajorek, B. (2012). Documentation of warfarin education provided to hospital patients: A clinical audit. Journal of Pharmacy Practice and Research, 42 (2), 129-133.

Abstract

Background: Effective management of warfarin therapy is often challenged by its complex pharmacology and preventable adverse events. One strategy to ensure safe warfarin use is provision of comprehensive warfarin education to patients.

Aim: To review the provision of warfarin education to hospital patients prescribed warfarin and to describe patient characteristics that may impact on warfarin education.

Method: A prospective study was undertaken at 2 large Australian metropolitan hospitals. Provision of warfarin education was identified by auditing the medication charts and clinical notes of hospitalised older patients (≥ 65 years). Patients were also interviewed to confirm whether they recalled receiving warfarin education during their hospital stay.

Results: Data were collected for 96 patients with a mean age of 74 (SD 13) years. Most patients (78%) were admitted to medical wards, were taking warfarin for atrial fibrillation (56%), and had started warfarin prior to admission (54%). 36% of patients had provision of warfarin education documented in medication charts and clinical notes, and in most cases warfarin education was provided by a pharmacist. Of the 68 patients available for interview, only 47% recalled receiving warfarin education; in the majority of cases they cited pharmacists as providers of the education.

Conclusion: There is a need to improve documentation and provision of warfarin education to hospital patients.

Citation Information
Sayeed Nasser, Romana Cecchele, Simone Touma, Priscilla Han, et al.. "Documentation of warfarin education provided to hospital patients: A clinical audit" (2012) p. 129 - 133
Available at: http://works.bepress.com/jmullan/38/