TESTING FOR ANTICOAGULATION AT THE POINT OF CARE: PATIENT PERCEPTIONS AND OUTCOMES
KLR Pharmacy College, Paloncha, Bhadradri Kothgudadm, Telangana- 507115, India
Mohammad Neha Afreen
KLR Pharmacy College, Paloncha, Bhadradri Kothgudadm, Telangana- 507115, India
Nishitha J
KLR Pharmacy College, Paloncha, Bhadradri Kothgudadm, Telangana- 507115, India
Maneesha M
KLR Pharmacy College, Paloncha, Bhadradri Kothgudadm, Telangana- 507115, India
Farheen Sulthana MD
KLR Pharmacy College, Paloncha, Bhadradri Kothgudadm, Telangana- 507115, India
Traditionally, institution laboratories have used venous punctures as a means of monitoring patients on warfarin with Prothrombin Time/International Normalized Ratio (PT/INR). With POCT devices, laboratory testing can now be conducted outside the central laboratory, revolutionizing patient care. Using a pharmacist-managed anticoagulation clinic at our institution, we examined the clinical and humanistic outcomes of warfarin-treated patients who were monitored with POCT rather than venipuncture in ambulatory care clinics. Clinical pharmacists manage anticoagulation monitoring for warfarin patients currently on therapy. In order to assess patient satisfaction with anticoagulation monitoring, a satisfaction survey was administered. Additionally, six months before and after the POCT device was implemented, ED visits and hospitalizations were analyzed. Electronic patient information databases were used to gather this information. Results: The two clinics collected data on 73 patients. For atrial fibrillation, most patients (45%) took warfarin. 43 patients (55%) completed satisfaction surveys. The POCT procedure is preferred by approximately 90% of patients over the venipuncture procedure, according to the survey. A shorter waiting time, less pain, and fewer blood draws were preferred by people over face-to-face interactions with doctors. Neither the pre-POCT implementation patients nor the post-POCT implementation patients had significant hospitalization differences, emergency department visits, or INR therapeutic range percent of time. Patients' satisfaction with POCT improved compared to venipuncture, but clinical outcomes were limited
13 , 1 , 2023
10 - 13
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