A pharmacist-managed anticoagulation clinic: Six-year assessment of patient outcomes

Implementation of Pharmacist-Managed Anticoagulation Clinic in a Saudi Arabian Health Center

“…This had a direct effect on the target INR percentage. The adequacy of anticoagulant control within pharmacist-managed ACC population is consistent with other published literature, with up to 63% of patients' INRs within the targeted range 10,[17][18][19][20][21][22]. Rates of major adverse events reported at the clinic (1.5%) were comparable to other pharmacist-managed ACCs and were lower than some (1.8%-8%) 10,[17][18][19][20][21][22].…”

“…Improved patient outcome, safety, and hospitalization at pharmacistmanaged ACCs have been well documented. [6][7][8][9][10][11][12][13][14][15][16][17][18] Pharmacist-managed ACCs have not been well established in the Middle East, where the traditional way of managing anticoagulation patients is still the mainstay of care. At Dhahran Health Center (DHC), warfarin is classifi ed as a high-alert medication with NTI and is commonly associated with adverse effects, primarily bleeding.…”

Pharmacy-managed anticoagulation: Assessment of in-hospital efficacy and evaluation of financial impact and community acceptance

“…Physicians surveyed also expressed satisfaction and frequently acknowledged that such a service would save them time [32][33][34]. Two surveys, directed specifically to physicians, provide information that has more potential relevance to in-hospital AC than the above referenced studies.…”

Clinical applications of pharmacogenomics guided warfarin dosing

“…Although pharmacists are involved with anticoagulation programs both in inpatient and outpatient settings, data looking at oral anticoagulation services in the traditional community pharmacy is relatively sparse [49,50]. The most robust data to date comes from the U.S. and the Eckerd PatientCARE Network using the retail pharmacists employed by the Eckard's chain [51].…”