Computer control of anticoagulant dose for therapeutic management.
Open Access
- 11 November 1989
- Vol. 299 (6709) , 1207-1209
- https://doi.org/10.1136/bmj.299.6709.1207
Abstract
OBJECTIVE--To improve the standard of managing anticoagulant treatment and provide a basis for therapeutic quality control. DESIGN--Implementation of a comprehensive computerised system for decision support. SETTING--Three anticoagulation clinics in South Warwickshire. SUBJECTS--Patients in South Warwickshire receiving anticoagulant treatment from September 1988 to March 1989. MAIN OUTCOME MEASURE--International normalised ratio was measured and recorded at each visit. RESULTS--688 Patients' visits were analysed statistically, and a 38% improvement was achieved in the results of international normalised ratios falling within the recommended therapeutic ranges of the British Society for Haematology. CONCLUSIONS--The implementation of a computerised anticoagulation support system resulted in better management of patients. The system provides a basis for uniform management of treatment and a common platform for national or international trials.This publication has 7 references indexed in Scilit:
- United Kingdom external quality assessment in blood coagulation: the first 21 years.Journal of Clinical Pathology, 1989
- Computer dosing in anticoagulant clinics-the way forward?Clinical and Laboratory Haematology, 1988
- Survey of prothrombin time in National External Quality Assessment Scheme exercises (1980-87).Journal of Clinical Pathology, 1988
- Quality of oral anticoagulant therapy.1986
- Therapeutic Quality Control Leading to Further Clinical Assessment of Oral AnticoagulationActa Haematologica, 1986
- Computer assisted management of warfarin treatment.BMJ, 1984
- Assessment of Therapeutic Control of AnticoagulationActa Haematologica, 1984