W., Joint Commission Resources, Inc., & Joint Commission International. (2011). The value of close calls in improving patient safety: Learning how to avoid and mitigate patient harm. Oakbrook Terrace, Illinois: Joint Commission Resources
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This makes the amount of medicine and their effect in patients more difficult to monitor. A study to determine if warfarin is safe was conducted in 25 nursing homes. Patients INR value was ≥ 4.5 and suffered no damage, but there was an error in warfarin management. The errors mostly occurred at prescription and observation stages in warfarin management. Observation errors include inadequate laboratory tests to check warfarin level leading to delay response to high INR levels. Prescription error was mostly in dosage in respect to INR levels and drugs interaction. To avoid such instances, there should be frequent communication between nurses and doctors. According to Wu et al. (2011), there should also be upgrading of information technology to incorporate a modern computerized provider order entry program with clinical decision support in nursing homes and hospitals (p.160). This information helps to know the information technology needed to improve monitoring of warfarin therapy in patients leading to better warfarin management.
Guidelines and Protocols Advisory Committee - Warfarin Therapy Management. (n.d.). Guidelines and Protocols Advisory Committee - Warfarin Therapy Management. Retrieved August 11, 2014, from http://www.bcguidelines.ca/guideline_warfarin_management.html.
This report was written by physicians and is intended for other physicians. The guidelines given in this report focuses on management warfarin therapy in patients within an office setup. In this report guideline is given on how to begin administering warfarin, on international normalized ratio (INR) and dosage. It is written that before starting warfarin treatment one should consider various reasons why it should not be used. Warfarin should not be used; if the patient has severe or active bleeding diathesis, if the patient has some doses not taken or taken incorrectly, if the patient ...
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