Anticoagulation: Practice Focus in an Ambulatory Clinic

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Abstract
Pharmacy practice is in an era of change. Opportunities for clinical practice are not only available in the inpatient setting but also in the ambulatory milieu. Anticoagulation is an excellent area for pharmacist involvement in patient care in the outpatient setting. This article describes the rationale and steps necessary for developing and maintaining a pharmacist-managed warfarin anticoagulation clinic. A discussion of the methodology necessary for justification and implementation of such services is presented. Salient points regarding warfarin use will also be covered.