Warfarin management after discharge from hospital: A qualitative analysis

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dc.contributor.author Stafford, L
dc.contributor.author Van Tienen, EC
dc.contributor.author Peterson, GM
dc.contributor.author Bereznicki, LRE
dc.contributor.author Jackson, SL
dc.contributor.author Bajorek, BV
dc.contributor.author Mullan, JR
dc.contributor.author DeBoos, IM
dc.date.accessioned 2012-10-12T03:34:30Z
dc.date.issued 2012-08
dc.identifier.citation Journal of Clinical Pharmacy and Therapeutics, 2012, 37 (4), pp. 410 - 414
dc.identifier.issn 0269-4727
dc.identifier.other C1UNSUBMIT en_US
dc.identifier.uri http://hdl.handle.net/10453/18666
dc.description.abstract What is Known and Objective: Warfarin is recognized as a high-risk medication for adverse events, and the risks are particularly heightened in the period immediately following a patient's discharge from hospital. This qualitative study aimed to explore the experiences of Australian patients and healthcare professionals of warfarin management in the post-discharge period and identify the benefits and deficiencies of existing systems, to inform the development of a model for a new collaborative post-discharge warfarin management service. Methods: Healthcare professionals, professional organization representatives and patients recently discharged from hospital taking warfarin (consumers) were recruited via purposive, criterion-based sampling within two Australian states. Semi-structured telephone interviews were conducted between August and October 2008 using standard discussion guides. Data were manually analyzed to identify emergent themes using a phenomenological approach. Results: Forty-seven participants were involved in the telephone interviews. Three major themes emerged: (i) appropriate warfarin education is integral to effective warfarin management, (ii) problems occur in communication along the continuum of care and (iii) home-delivered services are valuable to both patients and healthcare professionals. Discussion: Although high-quality warfarin education and effective communication at the hospital-community interface were identified as important in post-discharge warfarin management, deficiencies were perceived within current systems. The role of home-delivered services in ensuring timely follow-up and promoting continuity of care was recognized. Previous studies exploring anticoagulation management in other settings have identified similar themes. Post-discharge management should therefore focus on providing patients with a solid foundation to minimize future problems. What is New and Conclusion: Addressing the three identified facets of care within a new, collaborative post-discharge warfarin management service may address the perceived deficiencies in existing systems. Improvements may result in the short- and longer-term health outcomes of patients discharged from hospital taking warfarin, including a reduction in their risk of adverse events. © 2011 Blackwell Publishing Ltd.
dc.language eng
dc.relation.isbasedon 10.1111/j.1365-2710.2011.01308.x
dc.title Warfarin management after discharge from hospital: A qualitative analysis
dc.type Journal Article
dc.description.version Published
dc.description.version Published
dc.parent Journal of Clinical Pharmacy and Therapeutics
dc.journal.volume 4
dc.journal.volume 37
dc.journal.number en_US
dc.publocation Oxford en_US
dc.identifier.startpage 1 en_US
dc.identifier.endpage 5 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 continuity of patient care
dc.description.keywords patient discharge
dc.description.keywords qualitative research
dc.description.keywords warfarin
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
pubs.consider-herdc false


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