Anticoagulation
Anticoagulation therapy is a complex and labor-intensive intervention for which success depends upon correct dosing decisions, frequent monitoring, clear communication, and patient compliance.
This toolkit will provide clinical guidelines, educational materials, implementation resources and additional resources to increase anticoagulation therapy success, ultimately improving patient health in Iowa care organizations.
1. Evidence Based Clinical Guidelines
2. Educational Materials
2.1. Provider Education
2.2. CHADS2 Score Education
2.3. Online Continuing Medical Education Courses
3. Implementation
3.1. Anticoagulation Software
4. Resources
· British Society for Haematology
· “Guidelines on Oral Anticoagulation (Warfarin): Fourth Edition – 2011 update.”
· Chest Journal – February 2012
· “Executive summary: Antithrombotic therapy and prevention of thrombosis, 9th ed: American College of
Chest Physicians Evidence-Based Clinical Practice Guidelines (2012).”
· Clot-Care Anticoagulation Guidelines
· This is a collection of Anticoagulation Guidelines.
· Institute for Healthcare Improvement
· “Anticoagulant toolkit: Reducing adverse drug events – modified 2012”
· “Reduce Adverse Drug Events Involving Anticoagulants – modified 2012”
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Provider Education
· American Society of Health-System Pharmacists
· This website offers Anticoagulation resources, including provider education.
· Anticoagulation Forum
· Resource website with current articles, news and events on anticoagulation.
· Institute for Healthcare Improvement
· IHI Improvement Map
· “Educate patients to manage warfarin therapy at home – modified 2011”
· Journal of the American Society of Hematology
· Article: “How I treat with anticoagulants in 2012: New and old anticoagulants and when and how to switch
(Schulman & Crowther, 2012)”
CHADS2 Score Education
· American Heart Journal
· Article: “The CHADS2 Score predicts ischemic stroke in the absence of atrial fibrillation among patients
with coronary heart disease: Data from the heart and soul study (Welles, Whooley, Na, Ganz, Schiller,
& Turakhia, 2011).”
· Family Practice Notebook
· This website discusses the CHAD score and has online stroke risk calculators.
· MD+ Calc
· This website has an easy CHADS2 score calculator to estimate atrial fibrillation stroke risk.
Online Continuing Medical Education Courses (Anticoagulation CME)
· Anticoagulation Centers of Excellence
· This is a program created by the Anticoagulation Forum.
· No charge for the program
· Anticoagulation Therapy Management Certificate Program
· The University of Southern Indiana School of Nursing and Health Professions offers an interactive internet
continuing education program for health care professionals, who want to develop the knowledge and skills
necessary for effective, coordinated anticoagulant therapy management. Continuing education credits vary
based on discipline. The course is offered five times a year and costs $500.00.
· Please contact Nancy Thompson if you would like anticoagulation forms.
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Journal of Thrombosis and Thrombolysis
· “Establishing an inpatient anticoagulation service: a step by step review (Viercinski, Thomson, Wilson, & Merli, 2008).”
· “Challenges and benefits of an inpatient anticoagulation service: one hospital’s experience (Burnett, D’Angio, Earl, & Garcia, 2011)”
Anticoagulation Software
· INR Pro
· Standing Stone
· Dose Response
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Anticoagulation
· Chest Journal
· IHI Anticoagulation Info
· Anticoagulation forum: Clinic Locations
· Video: Mayo Clinic – “Guidelines for Anticoagulation Therapy for Secondary Prevention after Deep
Vein Thrombosis (June 2011)”
DVT
· Thrombosis Clinic: Education center for HCP's
· National Blood Clot Alliance
· North American Thrombosis Forum Home Page
· Investigators Against Thromboembolism Home Page
· National Quality Forum VTE
Stroke
· AAN Clinical Guidelines
· National Stroke Association
· Stroke Center Guidelines
· ACC/AHA A.Fib Guidelines
Patient Specific Materials
· Prevent DVT Home Page
· ClotCare Online Resource
· CDC: Medication Safety Program
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Created: October 28, 2009
Updated: March 13, 2013