Safer anticoagulation management in the community : a pharmacist-led approach

Abstract

A poster presentation regarding safer anticoagulation management in the community: a pharmacist-led approach. Introduction: Due to its narrow therapeutic margin, warfarin is recognised as a high-risk drug. Anticoagulation clinics focus on determining the patient’s INR value and on adjusting the dose of warfarin. Inclusion of a pharmacist-led Medicine Use Review (MUR) service within an anticoagulation clinic allows for the development of an individualised pharmaceutical care plan to ensure treatment efficacy with the lowest likelihood of complications. Aims: • To develop and implement a pharmacist-led clinical session for patients on warfarin. • To perform a MUR for each patient and assess drug- related problems (DRPs) identified and type of interventions recommended. • To assess patient’s knowledge and level of adherence to warfarin treatment.