An Evaluation of the BVH Initiation of warfarin for DVT. Sean O Brien Specialist Anticoagulation BMS Oct 2015
|
|
- Domenic Flynn
- 6 years ago
- Views:
Transcription
1 An Evaluation of the BVH Initiation of warfarin for DVT Sean O Brien Specialist Anticoagulation BMS Oct 2015
2 Service Provision ADAS is a Consultant led service managed by the Pathology Directorate. Provides POCT and computer assisted dosing advice to 7000 registered patients on oral anticoagulant therapy. The service is delivered by Biomedical Scientists, Nurses and Medical Laboratory Assistants. All clinics are community based. Daily housebound patient service.
3 Community Clinic sites
4 Activity ADAS Activity NUMBER OF PATIENT VISITS Series Series
5 Additional provision Inpatient dosing for Rossall & Bispham Spire Healthcare Rehab units. Direct link to outpatient DVT service. Pre op management of patients awaiting Cardioversion or Ablation. Pre and Post op management of Colonoscopy patients. Pre op management of Cataract patients. Reversal of over Anticoagulated patients with Oral Vitamin K, including 24 hour follow up, within community clinics.
6 Comprehensive Education for all new starters. Fully compliant with NPSA recommendations Comprehensive management of patients awaiting cardiovascular procedures Cardiology Ablation Cardioversion management BVH Wards ADAS Blackpool Spire Bispham Rossal Nurse Led Units Warfarin dosing for intermediate care units. Fylde Ambulatory DVT services. GP Led Wyre Gastro- Enterology Colonoscopy Management of pre procedure INR levels. Direct links with DVT service. Pathway for LMWH developed by ADAS. Opthalmology Cataract patients Management of pre procedure INR levels.
7 The Warfarin Patients Journey DVT/PE Patient presents at A+E with suspected DVT/PE PCAU confirm diagnosis of DVT/PE. DVT nurse sees patient and starts patient on Warfarin 5mg + Fragmin cover for 8 days. Patient referred to ADAS via electronic referral and Appt made for day five at Blackpool Vic.
8 The Warfarin Patients Journey Patient attends ADAS on Day 5 for INR test. This includes a weekend service when day 5 falls on a Saturday or Sunday. Following INR result patient receives ADAS counselling, is dosed for 3 days using our locally agreed Induction Algorithm and advised re Fragmin cover. If patient has reached therapeutic range Fragmin is stopped. Counselling session includes appropriate clinic for continued follow up.
9 DVT Induction protocol Initiate warfarin 5mg daily for 4 days. Check INR on day 5 * If baseline INR >1.2, then check LFT s. If LFT s abnormal use 3 mg starting dose and adjust appropriately at day 5. Only follow the dosing algorithm below if the patient has taken 5mg for 4 days. DAY 5 INR WARFARIN DOSAGE =/< 1.4 8MG FOR 3 DAYS MG FOR 3 DAYS MG FOR 3 DAYS MG FOR 3 DAYS MG FOR 3 DAYS MG FOR 3 DAYS >3.7 MISS 1 DAY AND RETEST
10 Why Evaluate the protocol? Its never been evaluated, anecdotally it works? Does it work? Is it safe? Could it be used throughout the trust? Could we improve it?
11 Study Design 100 patients randomly selected, retrospectively, from DAWN database. Patient MUST have followed the protocol. Any patients who missed days or took the wrong dose were excluded. Start date searched between Where multiple episodes were in the treatment plan the first episode has been included only. Results taken from DAWN, Day 5, 8, and when INR > 2 Fragmin usage was not included.
12 Demographics Age Range 24-94
13 Results Average INR on day 5 = 1.9 Average INR on day 8 = 2.4 Average time to therapeutic range = 7.9. This result has limitations due to the INR only being tested at Day 5 and Day 8. Average dose of stable warfarin = 4.7
14 Results
15 Conclusions It works! Its safe, we had one >8 INR, at day 5. (stable dose 1mg) Could it be used throughout the trust? Watch this space. Can we improve it?
16 Future plans Trust investigating using new policy incorporating our algorithm. We are going to look at our AF algorithm, currently 3mg for 4/5 days. A pilot is starting at the end of October for an ADAS early discharge scheme for Cardiac patients. Exciting times indeed and an opportunity to get an upgrade next year too. Ultimately a move to inpatient dosing, we know it makes sense!
ANTI-COAGULATION MONITORING
ANTI-COAGULATION MONITORING 2016-17 a) Purpose of Agreement This Agreement outlines the service to be provided by the Provider, called an Anti-coagulation monitoring service. b) Duration of Agreement This
More informationMANAGING THE INR CLINIC : IJN EXPERIENCE
MANAGING THE INR CLINIC : IJN EXPERIENCE Anticoagulation Workshop 21 st August 2015 KAMALESWARY ARUMUGAM PRINCIPAL PHARMACIST LEE LEE HO1 NURSE MENTOR, INR CLINIC HISTORY & OVERVIEW OF THE INR CLINIC HISTORY
More informationThe Role of the Arrhythmia Nurse
The Role of the Arrhythmia Nurse RACHEAL JAMES BHF SUPPORTED ARRHYTHMIA NURSE SPECIALIST UHW The Role of the Arrhythmia Nurse Specialist It is now widely recognised that the skills and expertise that nurses
More informationCamden Clinical Commissioning Group Reporting Mechanism/Frequency Remotely/Quarterly
Universal Offer Service Anticoagulation - Warfarin Clinical Lead Dr Kevan Ritchie Commissioner Camden Clinical Commissioning Group Reporting Mechanism/Frequency Remotely/Quarterly Payment Frequency Quarterly
More informationOverview and History of AMS. Lynn Oertel, MS, ANP, CACP Clinical Nurse Specialist Anticoagulation Management Service MESAC - November 18, 2014
Overview and History of AMS Lynn Oertel, MS, ANP, CACP Clinical Nurse Specialist Anticoagulation Management Service MESAC - November 18, 2014 Anticoagulation Management Service (AMS) Location POB, 275
More informationCommunity DVT Service. Phase 3: Anticoagulation at DVT Treatment Centres
Community DVT Service Quick Reference Guide Phase - Anticoagulation Phase : Anticoagulation at DVT Treatment Centres If a Patient has had a positive Ultrasound Scan they attend one of the DVT Treatment
More informationIntroduction of Clinical Nurse Specialists to the Leeds Anticoagulation Service- Changing Perceptions
Introduction of Clinical Nurse Specialists to the Leeds Anticoagulation Service- Changing Perceptions Karen Hodgkinson RN, BSc (Hons) Clinical Nurse Specialist/ Team Leader DAWN USER GROUP- Monday 3rd
More informationInpatient Anticoagulation Management Services to Improve Transitions of Care
Inpatient Anticoagulation Management Services to Improve Transitions of Care Andrea Resseguie PharmD, RPh, CACP Advanced Practice Clinical Specialist Anticoagulation Management Service Learning Objectives
More informationIndian River Medical Center Policy #: 10.1 Policies and Procedures
Indian River Medical Center Policy #: 10.1 Policies and Procedures Title: ANTICOAGULATION CLINIC Effective Date: Chapter: Pharmacy Reviewed Date: Responsible Person: Director of Pharmacy Revised Date:
More informationAnticoagulation Manager Training Day Plan
Anticoagulation Manager Training Day Plan Versioning Author: Debbie Cuthbert/Emma Stubbs Reviewer(s): Debbie Cuthbert, Jim Holden Date Version Contents 22/10/2014 01 Initial draft day plan. 31/10/2014
More informationStoryboard Submission NHS Wales Awards Title Improving Patient Safety How ABHB Ward Pharmacists Monitor Elevated INRs
Storyboard Submission 1. Title Improving Patient Safety How ABHB Ward Pharmacists Monitor Elevated 2. Brief Outline of Context As part of the 1000 Lives Plus initiative, ward pharmacists throughout ABHB
More informationSheffield Teaching Hospitals: Pulmonary Hypertension. Information for Medical Staff 31/03/2014. Local guidelines
Sheffield Teaching Hospitals: Pulmonary Hypertension Information for Medical Staff 31/03/2014 Local guidelines Diagnostic pathway - page 2 Iloprost dosing chart and conversion table - page 3-4 Hickman
More informationDocument ref. no: Trust Policy and Procedure PP(16)238 MANAGEMENT OF ADULT PATIENTS TREATED WITH ORAL ANTICOAGULANTS. Approved
Document ref. no: Trust Policy and Procedure PP(16)238 MANAGEMENT OF ADULT PATIENTS TREATED WITH ORAL ANTICOAGULANTS For use in: For use by: For use for: Document owner: Status: West Suffolk NHS Foundation
More informationANTICOAGULATION CLINIC
ANTICOAGULATION CLINIC COMMUNITY MEMORIAL HOSPITAL AND CLINIC BETTY MEIGHAN, RN, BSN SUMNER, IOWA PROGRAM INITIATION Provider request for patient benefit Time factor for physicians in office Significant
More informationInitiation of Warfarin for patients not registered with Provider Practice
Initiation of Warfarin for patients not registered with Provider Practice 2017-18 1. Purpose of Agreement This Agreement outlines the service to be provided by the Provider, called Initiation of Warfarin
More informationCase Presentation. Cindy Felty MSN, RN, CNP, FCCWS Assistant Professor of Medicine Mayo Clinic March 27, 2008
Case Presentation Cindy Felty MSN, RN, CNP, FCCWS Assistant Professor of Medicine Mayo Clinic March 27, 2008 Acute DVT Case 1- Day 1 68 year old male admitted overnight to hospital for painful acute DVT
More informationOn behalf of COMMIT Team
Dr Rashmi Sharma & Dr Achyut Guleri On behalf of COMMIT Team Quality Safety People Delivery Environment Cost Consultant Microbiologist Clinical Director- Laboratory Medicine, Blackpool Teaching Hospitals
More informationProtocol Applies To: UW Health Clinics: all adult outpatients with an active order for warfarin
Protocol Number: 7 Protocol Title: Ambulatory Initiation and Management of Warfarin for Adults Protocol Applies To: UW Health Clinics: all adult outpatients with an active order for warfarin Target Patient
More informationService Specification
Service Specification Level 4 Anticoagulation Management Release: Final Date: 1/1/11 Author: Suzanne Pickering Primary Care Commissioning Manager NHS Derbyshire County Owner: Jackie Pendleton Assistant
More information4/9/2013. Best Practice Initiative: Inpatient Anticoagulation Stewardship. Dorcas Letting reports no relevant financial relationships
Disclosure Best Practice Initiative: Inpatient Anticoagulation Stewardship Dorcas Letting reports no relevant financial relationships Dorcas Letting-Mangira, Pharm.D Pharmacotherapist, Internal Medicine
More informationLinda Cutter / Dr Charles Heatley. GP Practices and Community Pharmacies
Schedule 2 Part A Service Specification Service Specification No. 04 Service Anti-coagulation Monitoring Levels 3, 4 & 5 Commissioner Lead Provider Lead Linda Cutter / Dr Charles Heatley GP Practices and
More information27 th May 2011 Anticoagulation in Practice. Dr Jennie Wimperis Consultant Haematologist
Dr Jennie Wimperis Consultant Haematologist What is Click for Clots? Why we set it up? How we set it up? More details of what it contains Thrombosis Risk Assessment Hospital aquired/associated Thrombosis
More informationAnti-Coagulation Monitoring (warfarin, acenocoumarol, phenindione) Primary Care Service (PCS:01) NHS Standard Contract Service Profile Pack ( )
Anti-Coagulation Monitoring (warfarin, acenocoumarol, phenindione) Primary Care Service (PCS:01) This pack contains: Standard Contract Service Profile Pack () 1. Service Specification: (to be inserted
More informationREFERRAL TO TREATMENT CONSULTANT-LED WAITING TIMES RULES DEFINITIONS
REFERRAL TO TREATMENT CONSULTANT-LED WAITING TIMES RULES DEFINITIONS The aim of this document is to provide clear rules and definitions for RTT waiting times for consultant-led services. The guide on how
More informationWar on Warfarin: Integrating DOACs into your Anticoagulation Service
War on Warfarin: Integrating DOACs into your Anticoagulation Service David DeiCicchi, Pharm.D, CACP Brigham and Women s Hospital September 30 th, 2016 Disclosures I have no financial conflict of interest
More informationAdverse Drug Events: A Focus on Anticoagulation Steve Meisel, Pharm.D., CPPS Director of Patient Safety Fairview Health Services, Minneapolis, MN
Adverse Drug Events: A Focus on Anticoagulation Steve Meisel, Pharm.D., CPPS Director of Patient Safety Fairview Health Services, Minneapolis, MN Fairview Health Services 6 hospitals, ranging from rural
More informationAnticoagulation: Safe prescribing, dispensing and administration of oral and parenteral anticoagulants
Trust Policy Anticoagulation: Safe prescribing, dispensing and administration of oral and parenteral anticoagulants Purpose Date Version March 2015 2 To manage the inherent risks to patients from the use
More informationANTICOAGULATION THERAPY MANAGEMENT SOFTWARE
ANTICOAGULATION THERAPY MANAGEMENT SOFTWARE PROCEEDINGS OF THE 20th USER GROUP MEETING 8th/9th October 2012 BETTER CARE FOR LESS EFFORT FROM THE COMPANY THAT REALLY CARES Page 2 Table of Contents Chairman
More informationHarrison Memorial Hospital Cynthiana, KY. Rachel Harney, PharmD Director of Pharmacy ADEs Related to Coumadin March 1, 2018
Harrison Memorial Hospital Cynthiana, KY Rachel Harney, PharmD Director of Pharmacy ADEs Related to Coumadin March 1, 2018 About Us HMH is a regional healthcare facility licensed to operate 61 beds 20
More informationNATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE. Single Technology Appraisal (STA)
Thank you for agreeing to give us a statement on your organisation s view of the technology and the way it should be used in the NHS. Healthcare professionals can provide a unique perspective on the technology
More informationANTICOAGULATION MONITORING SERVICE. Standard Operating Procedure For the provision of a Level 3, 4 and 5 Anticoagulation Service
ANTICOAGULATION MONITORING SERVICE Standard Operating Procedure For the provision of a Level 3, 4 and 5 Anticoagulation Service Version: Date at ET/PEC: September 2008 Date ratified at Board: Name and
More informationImprovement Activities for ACI Bonus Measures
Improvement Activity Performance Category Subcategory Expanded Practice Activity Name Activity Improvement Activity Performance Category Weight Provide 24/7 access to eligible clinicians or groups, who
More informationPatient Group Direction for Aspirin 300mg Version: 02 Start Date: 1 st October 2017 Expiry Date: 30 th September 2019
THIS PATIENT GROUP DIRECTION HAS BEEN AGREED BY THE FOLLOWING ORGANISATIONS: CLINICAL COMMISSIONING GROUP: Doncaster CCG, Lancashire CCGs including East Lancashire, Fylde and Wyre and North Lancashire
More informationRULE RESPONSIBILITIES OF A PHYSICIAN WHO ENGAGES IN DRUG THERAPY MANAGEMENT WITH A COLORADO LICENSED PHARMACIST
DEPARTMENT OF REGULATORY AGENCIES Colorado Medical Board RULE 900 - RESPONSIBILITIES OF A PHYSICIAN WHO ENGAGES IN DRUG THERAPY MANAGEMENT WITH A COLORADO LICENSED PHARMACIST 3 CCR 713-32 [Editor s Notes
More informationINTERQUAL ACUTE CRITERIA REVIEW PROCESS
REVIEW RP-1 RP-2 REVIEW The InterQual Acute Criteria provide support for determining the appropriateness of admission, continued stay and discharge. The Acute Criteria address the observation, critical,
More informationSame day emergency care: clinical definition, patient selection and metrics
Ambulatory emergency care guide Same day emergency care: clinical definition, patient selection and metrics Published by NHS Improvement and the Ambulatory Emergency Care Network June 2018 Contents 1.
More informationComparison of Anticoagulation Clinic Patient Outcomes With Outcomes From Traditional Care in a Family Medicine Clinic
Comparison of Anticoagulation Clinic Patient Outcomes With Outcomes From Traditional Care in a Family Medicine Clinic Marvin A. Chamberlain, RPh, MS, Nannette A. Sageser, Pharm D, and David Ruiz, MD Background:
More informationHow Pharmacies are supporting the move from Secondary to Primary Care. Peter Bainbridge, Director of Pharmacy,
How Pharmacies are supporting the move from Secondary to Primary Care Peter Bainbridge, Director of Pharmacy, Alliance Boots Present in over 25 countries Over 116,000 employees 3,330 Health and Beauty
More informationInstructions for Integrated Care Pathway use
αβχ Instructions for Integrated Care Pathway use This pathway is to be used in place of all previous documentation for patients with a Deep Vein Thrombosis (DVT). It is to be used by Emergency Department
More informationAfter reading this learning module, the nurse should be able to:
After reading this learning module, the nurse should be able to: Identify the VTE dashboard and understand how to initiate it Identify the requirements of the VTE Core Measure and the nurse s responsibilities
More informationSCHEDULE 2 THE SERVICES
SCHEDULE 2 THE SERVICES A. Service Specifications 1 Introduction Anticoagulants are medicines which slow down the blood clotting process and are used to support the prevention of clot development. They
More informationPAGE NO 1. INTRODUCTION 3 2 WARFARIN INITIATION GUIDELINES WARFARIN FLOWCHART. 5 4 WDHB WARFARIN PATHWAY 6 5 WDHB GP REFERRAL FORM 7
Guidelines for Primary Care Com mmunity-based Clinicians September 2011 IINDEX PAGE NO 1. INTRODUCTION 3 2 WARFARIN INITIATION GUIDELINES... 4 3. WARFARIN FLOWCHART. 5 4 WDHB WARFARIN PATHWAY 6 5 WDHB
More informationOCCG SERVICE SPECIFICATION (2017/18) PRIMARY CARE SERVICE FOR THE PROVISION OF ARRHYTHMIA DIAGNOSTIC SERVICES
OCCG SERVICE SPECIFICATION (2017/18) PRIMARY CARE SERVICE FOR THE PROVISION OF ARRHYTHMIA DIAGNOSTIC SERVICES 1. Introduction This service covers the use of cardiac event monitors (CEMs) for the diagnosis
More informationDigital INR Monitoring A model of remote INR testing. Ian Dove, Tracy Murphy, Jeannie Hardy County Durham and Darlington NHS FT
Digital INR Monitoring A model of remote INR testing Ian Dove, Tracy Murphy, Jeannie Hardy County Durham and Darlington NHS FT About NHS Health Call NHS Health Call is a digital health partnership between
More informationCommissioning effective anticoagulation services for the future: A resource pack for commissioners
Commissioning effective anticoagulation services for the future: A resource pack for commissioners The development of this commissioning toolkit was supported by Bayer HealthCare. Bayer HealthCare paid
More informationNPSA Alert 03: Reducing the harm caused by oral Methotrexate. Implementation Progress Report July Learning and Sharing
NPSA Alert 03: Reducing the harm caused by oral Methotrexate Implementation Progress Report July 2006 Learning and Sharing CONTENTS Page 1 Background 3 2 Findings 4 Appendix 1 Summary of responses 6 Appendix
More informationMedicine Reconciliation FREQUENTLY ASKED QUESTIONS NATIONAL MEDICATION SAFETY PROGRAMME
Medicine Reconciliation FREQUENTLY ASKED QUESTIONS NATIONAL MEDICATION SAFETY PROGRAMME The Process What is medicine reconciliation? Medicine reconciliation is an evidence-based process, which has been
More informationAlert. Patient safety alert. Actions that can make anticoagulant therapy safer. 28 March Action for the NHS and the independent sector
Patient safety alert 18 Alert 28 March 2007 Immediate action Action Update Information request Ref: NPSA/2007/18 Actions that can make anticoagulant therapy safer Anticoagulants are one of the classes
More informationAdvancing Care Information Measures
Participants: Advancing Care Information Measures In 2017, Advancing Care Information (ACI) measure reporting is optional for Nurse Practitioners, Physician Assistants, Clinical Nurse Specialists, CRNAs,
More informationPromoting Interoperability Measures
Promoting Interoperability Measures Previously known as Advancing Care Information for 2017 and Meaningful Use from 2011-2016 Participants: In 2018, promoting interoperability measure reporting (PI) is
More informationPerformance Measurement of a Pharmacist-Directed Anticoagulation Management Service
Hospital Pharmacy Volume 36, Number 11, pp 1164 1169 2001 Facts and Comparisons PEER-REVIEWED ARTICLE Performance Measurement of a Pharmacist-Directed Anticoagulation Management Service Jon C. Schommer,
More informationFylde Coast Community Dermatology Service
Fylde Coast Community Dermatology Service Referrer Information Guide Our services Welcome to our Fylde Coast Community Dermatology Service. This service will deliver a high quality dermatology service
More informationOxfordshire Primary Care Commissioning Committee. Date of Meeting: 3 January 2017 Paper No: 9
Oxfordshire Clinical Commissioning Group Oxfordshire Primary Care Commissioning Committee Date of Meeting: 3 January 2017 Paper No: 9 Title of Presentation: OCCG Primary Care Locally Commissioned Services
More informationSafer use of anticoagulants: the NPSA patient safety alert Steve Chaplin MSc, MRPharmS
Safer use of anticoagulants: the NPSA patient safety alert Steve Chaplin MSc, MRPharmS Steve Chaplin describes the NPSA s anticoagulant patient safety alert and the measures it recommends for making the
More informationImprovement Activities Data Validation Criteria
Activity ID Subcategory Activity Name Activity Description Activity Validation Suggested Documentation (inclusive of dates during the selected continuous 90-day or year Name Weighting long reporting period)
More informationReducing Warfarin ADR s with a Nurse Led Anticoagulation Clinic: A New Model of Patient Care
Baptist Health South Florida Scholarly Commons @ Baptist Health South Florida All Publications 6-16-2017 Reducing Warfarin ADR s with a Nurse Led Anticoagulation Clinic: A New Model of Patient Care Michael
More informationHOSPITAL IN THE HOME (HITH) INFORMATION SHEET
What is HITH? HOSPITAL IN THE HOME (HITH) INFORMATION SHEET In 1994 the Hospital in the Home (HITH) Program was commenced as a pilot. Hospitals were invited to apply to become HITH providers and 43 were
More information2018 Hong Kong Pharmacy Conference. Strategic Planning for Pharmaceutical Services , Hospital Authority of Hong Kong
2018 Hong Kong Pharmacy Conference Strategic Planning for Pharmaceutical Services 2017-2022, Hospital Authority of Hong Kong Ms Anna LEE Chief Pharmacist Hospital Authority Hong Kong 10 March 2018 Hospital
More informationProtocol for Patients on oral Anticoagulants who wish to perform INR self testing. Anticoagulation service Bolton NHS Foundation Trust. April 2017.
Protocol for Patients on oral Anticoagulants who Anticoagulation service Bolton NHS Foundation Trust April 2017. Document Control Document Ref No. ANTICO05 Title of document Protocol for Patient s on oral
More informationReferral to Treatment (RTT) Access Policy
General Referral to Treatment (RTT) Access Policy This is a controlled document and whilst this document may be printed, the electronic version posted on the intranet/shared drive is the controlled copy.
More informationPromoting Interoperability Performance Category Fact Sheet
Promoting Interoperability Fact Sheet Health Services Advisory Group (HSAG) provides this eight-page fact sheet to help providers with understanding Activities that are eligible for the Promoting Interoperability
More informationCroydon Health Services NHS Trust (Working in Partnership) Shared Care Guideline: Prescribing Agreement
Shared Care Guideline: Prescribing Agreement Section A: To be completed by the hospital consultant initiating the treatment GP Practice Details: Name: Address: Tel no: Fax no: NHS.net e-mail: Consultant
More informationINCLUSION CRITERIA. REMINDER: Please ensure all stroke and TIA patients admitted to hospital are designated as "Stroke Service" in Cerner.
ACUTE STROKE CLINICAL PATHWAY The clinical pathway is based on evidence informed practice and is designed to promote timely treatment, enhance quality of care, optimize patient outcomes and support effective
More informationBy Harry Crank Coordinator
1 Integrating IT systems to optimise patient care pathways By Harry Crank Coordinator 3 5 Where are we? Area of where we cover Brief overview of our Service 4600+ patients Pharmacists, Nurses, Phlebotomists
More informationFor questions regarding this survey, contact Elizabeth Cobb Please complete the survey by October 24, 2014.
Kentucky Hospital Association, through our Certificate of Need Committee, is conducting a survey of hospital outpatient surgery and ambulatory surgery center (ASC) utlization and trends. This information
More informationMedication Adherence
Medication Adherence Robert DiGregorio, PharmD, FNAP, BCACP Professor (Long Island University) Sr. Director, Pharmacy & Pharmacotherapy Services (TBHC) Chief, Pharmacotherapy Department of Internal Medicine
More informationA Career in Haematology in the West Midlands
A Career in Haematology in the West Midlands Speciality training in Haematology Contents Haematology Overview Advantages / Disadvantages Career Pathway Examinations - FRCPath Recruitment Commitment to
More informationMedication Reconciliation Review
The Medication Reconciliation Review tool provides step-by-step instructions for conducting a review of closed patient records to identify errors related to unreconciled medications. Organizations that
More informationMedication Safety Dashboard
How Safe Are Your Patients? Creating a Meaningful & Actionable Medication Safety Dashboard By: Helga Brake, PharmD, CPHQ Patient Safety Leader Northwestern Memorial Hospital No Conflicts of Interest to
More informationInfection Prevention and Control. Quarterly Report
Infection Prevention and Control Quarterly Report 1 st July 2009 30 th September 2009 Dr Nick Harper Director of Infection Prevention and Control Mrs Johanne Lickiss Nurse Consultant Infection Prevention
More informationSpecialty Practice in a Value Based Payment World. Sandra J Lewis MD FACC FAHA June 22, 2017
Specialty Practice in a Value Based Payment World Sandra J Lewis MD FACC FAHA June 22, 2017 From the Triple Aim to the Quadruple Aim A Practice Response to MACRA Thanks to Andrew P. Miller, M.D., FACC,
More informationBeyond Warfarin Clinic : Pharmacistmanaged. Anticoagulation Care Services
Beyond Warfarin Clinic : Pharmacistmanaged Comprehensive Anticoagulation Care Services Nancy L. Shapiro, PharmD, FCCP, BCACP, CACP Clinical Associate Professor Clinical Pharmacist and Coordinator, Antithrombosis
More informationSection 4 - Referrals and Authorizations: UM Department
Section 4 - Referrals and Authorizations: UM Department Primary Care Referral Process 1 Referrals to In-Network Specialists 1 Referrals to Out-Of-Network Specialists 2 Consultation Referral Forms 2 Consultation
More informationOxfordshire Anticoagulation Service. Important information about anticoagulation with vitamin K antagonists Information for patients
Oxfordshire Anticoagulation Service Important information about anticoagulation with vitamin K antagonists Information for patients Page 2 Your information Name:... Address:......... or patient stickie
More informationThe pathway highlights a clear strategy for managing these patients which includes the following:
James Cook University Hospital Streamlining the pathway for patients identified in surgical pre admission clinics (PAC) with previously undetected atrial fibrillation. Why was this project implemented?
More informationI have no conflict of interest to declare
I have no conflict of interest to declare Kjersti Oterhals Department of Heart Disease, Haukeland University Hospital, Bergen, Norway UNITE Research Group; Christi Deaton, Sabina De Geest, Tiny Jaarsma,
More informationProvide Safe and Effective Medicines Management in Primary Care
Primary Drivers Secondary Drivers Aim Safe and reliable prescribing, monitoring and administration of high risk medications that require systematic monitoring Implement systems for reliable prescribing
More informationNUCLEAR MEDICINE RESIDENT DUTIES
NUCLEAR MEDICINE RESIDENT DUTIES General The American Board of Radiology requires four months training in Nuclear Medicine. Residents will be assigned at least 4 rotations on service. Rotations will be
More informationUTILIZATION MANAGEMENT AND CARE COORDINATION Section 8
Overview The focus of WellCare s Utilization Management (UM) Program is to provide members access to quality care and to monitor the appropriate utilization of services. WellCare s UM Program has five
More informationCommissioning for Quality and Innovation (CQUIN) Schemes for 2015/16
Commissioning for Quality and Innovation (CQUIN) Schemes for 2015/16 Goal No. Indicator Name Contract 1 Acute Kidney Injury CWS CCG Contract - National CQUIN 2a Sepsis Screening CWS CCG Contract - National
More informationMeasuring the EIP Standards
Measuring the EIP Standards Michael Watson Improvement Manager Mental Health 17 th November 2016 EIP Standards By 1 April 2016, more than 50% of people experiencing a first episode of psychosis will be
More informationBest Practice Guidance for Supplementary Prescribing by Nurses Within the HPSS in Northern Ireland. patient CMP
Best Practice Guidance for Supplementary Prescribing by Nurses Within the HPSS in Northern Ireland patient CMP nurse doctor For further information relating to Nurse Prescribing please contact the Nurse
More informationMeasured Implementation of an Accelerated Chest Pain Diagnostic Pathway in Rural Practice. Proof of concept
Measured Implementation of an Accelerated Chest Pain Diagnostic Pathway in Rural Practice Proof of concept Authors Tim Norman Pinnacle Midlands Health Network Dr Jo Scott Jones - Pinnacle Midlands Health
More informationCCG authorisation Case Study Template. NHS Croydon Clinical Commissioning Group. Patient Navigation (PatNav) 3 of 3
CCG name: Case study title: CCG authorisation Case Study Template NHS Croydon Clinical Commissioning Group Patient Navigation (PatNav) CCG case study number: Does the case study provide core evidence?
More informationThis controlled document shall not be copied in part or whole without the express permission of the author or the author s representative.
This document is also available in large print and other formats and languages, upon request. Please call NHS Grampian Corporate Communications on (01224) 551116 or (01224) 552245. This controlled document
More informationNON MEDICAL PRESCRIBING FOR PARAMEDIC PRACTITIONERS
NON MEDICAL PRESCRIBING FOR PARAMEDIC PRACTITIONERS Donald Blackie dblackie@nhs.net THE PARAMEDIC PRACTITIONER ROLE WE ARE A SMALL GROUP OPERATING WITHIN NHS LOTHIAN AS PART OF A MULTI-DISCIPLINED TEAM
More informationJOB DESCRIPTION. FOR THE POST OF Rotational Band 5 Physiotherapist AT BLACKPOOL TEACHING HOSPITALS NHS FOUNDATION TRUST
JOB DESCRIPTION FOR THE POST OF Rotational Band 5 Physiotherapist AT BLACKPOOL TEACHING HOSPITALS NHS FOUNDATION TRUST JOB TITLE: Rotational Physiotherapist BAND: Band 5 RESPONSIBLE TO: Hospital Physiotherapy
More informationREVIEW OF PROVIDENCE ALASKA MEDICAL CENTER CERTIFICATE OF NEED APPLICATION FOR CONSTRUCTION OF AN ELECTROPHYSIOLOGY LABORATORY
REVIEW OF PROVIDENCE ALASKA MEDICAL CENTER CERTIFICATE OF NEED APPLICATION FOR CONSTRUCTION OF AN ELECTROPHYSIOLOGY LABORATORY September 14, 2009 Sean Parnell Governor William H. Hogan Commissioner State
More informationThe Newcastle upon Tyne Hospitals NHS Foundation Trust Venous. Thromboembolism (VTE) Assessment and Management
The Newcastle upon Tyne Hospitals NHS Foundation Trust Venous Thromboembolism (VTE) Assessment and Management Version No: 2.0 Effective From: 16 April 2018 Expiry Date: 16 April 2021 Date Ratified: 23
More informationHeart Failure Order Sets. Standardizing Care for the Heart Failure Patient 2012
Heart Failure Order Sets Standardizing Care for the Heart Failure Patient 2012 Objectives: Standardize care for all heart failure patients in Legacy Base Practice on American Heart Association Guidelines
More informationHEALTH CONNECT TREASURE HUNT
TREASURE HUNT DIRECTIONS From Henry Walker at Kaiser Permanente The Treasure Hunt is a paper handout with questions on several patients. Students look up a patient s chart in EPIC Chart Review (so that
More informationIntroduction. Singapore and its Quality and Patient Safety Position. Singapore 2004: Top 5 Key Risk Factors. High Body Mass
Introduction Singapore and its Quality and Patient Safety Position Singapore 2004: Top 5 Key Risk Factors High Body Mass (11.1%; 45,000) Physical Inactivity (3.8%; 15,000) Cigarette Smoking (7.4%; 28,000)
More informationLars Wallentin, Salim Yusuf, Michael Ezekowitz, Sean Young, Janice Pogue, Stuart Connolly, for the RELY Investigators
Efficacy and Safety of Dabigatran Compared to at Different Levels of INR Control for Stroke Prevention in 18,113 patients with Atrial Fibrillation in the RE-LY Trial Lars Wallentin, Salim Yusuf, Michael
More informationSetting up the NOAC Service & Taking it to Primary Care
Setting up the NOAC Service & Taking it to Primary Care Satinder Bhandal Consultant Anticoagulation Pharmacist November 2015 Buckinghamshire Health Care NHS Trust Quiz 1. What is the most serious side
More informationWAITING TIMES AND ACCESS TARGETS
NHS Board Meeting Tuesday 17 February 2015 Chief Officer (Acute Services) Board Paper No.15/08 WAITING TIMES AND ACCESS TARGETS Recommendation: The NHS Board is asked to note progress against the national
More informationMedication Control and Distribution. Minor/technical revision of existing policy. ± Major revision of existing policy Reaffirmation of existing policy
Name of Policy: Policy Number: 3364-133-17 Department: Pharmacy Approvingofficer: Chief Executive Officer THE unrversity OF TOLEDO MEDICAL CERITER Responsible Agent: Scope: Director of Pharmacy University
More informationRespiratory Clinical Review of Patients with Community Acquired Pneumonia
Respiratory Clinical Review of Patients with Community Acquired Pneumonia DrPeter Wu Staff Specialist Department of Respiratory & Sleep Medicine Westmead Hospital Western Sydney Local Health District How
More informationReport to the Board of Directors 2016/17
Attachment 8 Report to the Board of Directors 2016/17 Date of meeting 30 September 2016 Subject Report of Prepared by Purpose of report Previously considered by (Committee/Date) Local A&E Delivery Board
More informationEast Lancashire DVT Local Enhanced Services (LES)
Agenda Item No: 6.5 REPORT TO: PRIMARY CARE COMMITTEE MEETING DATE: 13 September 2017 REPORT TITLE: SUMMARY OF REPORT: REPORT RECOMMENDATIONS: East Lancashire DVT Local Enhanced Services (LES) The paper
More informationResearch Article A Pharmacist-Led Point-of-Care INR Clinic: Optimizing Care in a Family Health Team Setting
International Family Medicine, Article ID 691454, 4 pages http://dx.doi.org/10.1155/2013/691454 Research Article A Pharmacist-Led Point-of-Care INR Clinic: Optimizing Care in a Family Health Team Setting
More information