Extended roles for pharmacists in warfarin therapy: Identifying opportunities for pharmacist prescribing

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dc.contributor.author Khoo, A
dc.contributor.author Bajorek, BV
dc.date.accessioned 2012-02-02T11:00:06Z
dc.date.issued 2006-09
dc.identifier.citation Journal of Pharmacy Practice and Research, 2006, 36 (3), pp. 190 - 193
dc.identifier.issn 1445-937X
dc.identifier.other C1UNSUBMIT en_US
dc.identifier.uri http://hdl.handle.net/10453/15567
dc.description.abstract Background: Warfarin has traditionally posed a challenge to clinicians because of its narrow therapeutic index. Extended roles for pharmacists may address some of the problems in warfarin management. International experience has involved anticoagulation clinics in which pharmacists have authority to engage in collaborative prescribing activities with physicians. Aim: To identify opportunities for pharmacist prescribing activities in warfarin management within the hospital setting. Method: Pharmacists from a Sydney teaching hospital were recruited. The first stage involved an audit of pharmacists' interventions in patients receiving warfarin. Stage two involved a focus group discussion to further explore these issues. Results: 9 pharmacists saw 41 warfarinised patients over the 5-day data collection period. Pharmacists saw reason to intervene in the warfarin therapy of 19 (46%) of these patients and a prescribing activity was involved in 16 (84%) of these interventions. Despite these ample opportunities to prescribe, pharmacists felt limited in their ability to use these opportunities. Lack of information about the patient, workloads, medicolegal responsibility, and the need for further training and experience, were cited as the main reasons pharmacists were hesitant to prescribe. It was also suggested that the outpatient setting may be more appropriate to trial a pharmacist prescribing role. Conclusion: There are ample opportunities for pharmacist prescribing in the area of warfarin management. However, practice change is needed before such a role can be taken up in the hospital setting.
dc.language eng
dc.title Extended roles for pharmacists in warfarin therapy: Identifying opportunities for pharmacist prescribing
dc.type Journal Article
dc.parent Journal of Pharmacy Practice and Research
dc.journal.volume 3
dc.journal.volume 36
dc.journal.number 3 en_US
dc.publocation Australia en_US
dc.identifier.startpage 190 en_US
dc.identifier.endpage 193 en_US
dc.cauo.name GSH.Pharmacy en_US
dc.conference Verified OK en_US
dc.for 1115 Pharmacology and Pharmaceutical Sciences
dc.personcode 112624
dc.percentage 100 en_US
dc.classification.name Pharmacology and Pharmaceutical Sciences en_US
dc.classification.type FOR-08 en_US
dc.edition en_US
dc.custom en_US
dc.date.activity en_US
dc.location.activity en_US
dc.description.keywords NA en_US
dc.description.keywords practice development, complex intervention, evaluation, impact, outcomes, quality, sustainability
pubs.embargo.period Not known
pubs.organisational-group /University of Technology Sydney
pubs.organisational-group /University of Technology Sydney/Graduate School of Health
pubs.organisational-group /University of Technology Sydney/Strength - Health Services and Practice Research
utslib.copyright.status Closed Access
utslib.copyright.date 2015-04-15 12:17:09.805752+10
utslib.collection.history Closed (ID: 3)

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