改善社区卫生系统中的华法林抗凝治疗。

M J Pubentz, D E Calcagno, J L Teeters
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引用次数: 0

摘要

华法林患者的内部图表回顾显示44%的并发症发生率导致更高的治疗费用,并确定患者不遵守,获得监测和患者教育不足是促成因素。制定了华法林使用指南以协助医生进行华法林管理,随后建立了抗凝中心(ACC)。迄今为止,已有950多名患者通过ACC进行了治疗,国际标准化治疗率平均为82%。ACC组出血和治疗失败的发生率较低,一项患者满意度调查显示,ACC患者比非ACC患者更经常对自己的护理感到满意。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Improving warfarin anticoagulation therapy in a community health system.

An internal chart review of warfarin patients revealed a 44 percent complication rate resulting in higher treatment costs, and identified patient noncompliance, access to monitoring, and insufficient patient education as contributing factors. A warfarin usage guideline was created to assist physicians with warfarin management and subsequently the Anticoagulation Center (ACC) was established. To date over 950 patients have been managed through the ACC with therapeutic international normalized ratios an average of 82 percent of the time. Fewer bleeds and treatment failures have occurred in the ACC group, and a patient satisfaction survey revealed that ACC patients were very satisfied with their care more often than non-ACC patients.

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