Exploring point-of-care testing of capillary blood in warfarin management

Glover, S; Bajorek, BV

Exploring point-of-care testing of capillary blood in warfarin management

Glover, S Bajorek, BV

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Publication Type:: Journal Article
Citation:: Journal of Pharmacy Practice and Research, 2008, 38 (4), pp. 300 - 304
Issue Date:: 2008-01-01

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Field	Value	Language
dc.contributor.author	Glover, S	en_US
dc.contributor.author	Bajorek, BV https://orcid.org/0000-0002-2532-7187	en_US
dc.date.issued	2008-01-01	en_US
dc.identifier.citation	Journal of Pharmacy Practice and Research, 2008, 38 (4), pp. 300 - 304	en_US
dc.identifier.issn	1445-937X	en_US
dc.identifier.uri	http://hdl.handle.net/10453/16953
dc.description.abstract	Background: Long-term warfarin therapy requires intensive laboratory monitoring of venous blood. Reliable and efficient point-of-care testing (POCT) of capillary blood offers an alternative to laboratory monitoring. Aim: To explore the perceptions of health professionals to POCT in warfarin management and to identify the models of monitoring warfarinised patients preferred by health professionals. Method: An exploratory descriptive study that purposively sampled health professionals (hospital pharmacists, specialists, nurses, general practitioners) involved in the management of anticoagulated patients and practising within an area health service. Health professionals were invited to participate in a group discussion on POCT and to then complete a brief survey ranking proposed monitoring models incorporating POCT. Results: 4 group discussions and/or individual interviews with 33 health professionals elucidated several themes, such as lack of knowledge or confidence in POCT, operator accreditation and careful patient selection. An acute post-acute care model and general practice surgery model incorporating POCT was preferred by health professionals in terms of perceived benefits to patients, cost-effectiveness and time efficiency. Conclusion: POCT will be a component in the monitoring and management of warfarinised patients in the future. A drawback to POCT is the perceived inaccuracy of the devices used. Operator training and maintenance of a controlled practice environment were suggested strategies to overcome variability.	en_US
dc.relation.ispartof	Journal of Pharmacy Practice and Research	en_US
dc.relation.isbasedon	10.1002/j.2055-2335.2008.tb00394.x	en_US
dc.subject.classification	Pharmacology & Pharmacy	en_US
dc.title	Exploring point-of-care testing of capillary blood in warfarin management	en_US
dc.type	Journal Article
utslib.citation.volume	4	en_US
utslib.citation.volume	38	en_US
utslib.for	1115 Pharmacology and Pharmaceutical Sciences	en_US
dc.location.activity	Doha, Qatar
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Graduate School of Health
utslib.copyright.status	closed_access
pubs.issue	4	en_US
pubs.publication-status	Published	en_US
pubs.volume	38	en_US

Abstract:

Background: Long-term warfarin therapy requires intensive laboratory monitoring of venous blood. Reliable and efficient point-of-care testing (POCT) of capillary blood offers an alternative to laboratory monitoring. Aim: To explore the perceptions of health professionals to POCT in warfarin management and to identify the models of monitoring warfarinised patients preferred by health professionals. Method: An exploratory descriptive study that purposively sampled health professionals (hospital pharmacists, specialists, nurses, general practitioners) involved in the management of anticoagulated patients and practising within an area health service. Health professionals were invited to participate in a group discussion on POCT and to then complete a brief survey ranking proposed monitoring models incorporating POCT. Results: 4 group discussions and/or individual interviews with 33 health professionals elucidated several themes, such as lack of knowledge or confidence in POCT, operator accreditation and careful patient selection. An acute post-acute care model and general practice surgery model incorporating POCT was preferred by health professionals in terms of perceived benefits to patients, cost-effectiveness and time efficiency. Conclusion: POCT will be a component in the monitoring and management of warfarinised patients in the future. A drawback to POCT is the perceived inaccuracy of the devices used. Operator training and maintenance of a controlled practice environment were suggested strategies to overcome variability.

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http://hdl.handle.net/10453/16953