The benefits of pharmacist-delivered warfarin education in the home

Stafford, L; Tienen, E. C. van; Bereznicki, Lre; Peterson, Gregory M.

doi:10.1111/j.2042-7174.2012.00217.x

Cited by 17 publications

(33 citation statements)

References 29 publications

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“…We postulate that one reason that the present study did not detect significant benefits from an education programme where others have, is that The Royal Melbourne Hospital already has a well‐established, pharmacy‐driven inpatient warfarin education programme. This suggests that where a good inpatient education system exists, a similar outpatient intervention would unlikely provide further benefit.…”

Section: Discussioncontrasting

confidence: 61%

Effect of warfarin education on patient knowledge and anticoagulation control: a randomised controlled trial

Bhatt

McCurdy

Liew

et al. 2018

Pharmacy Practice and Res

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Background Patient education is a key component of management in the anticoagulated patient. Aim The aim of this study was to establish whether reiteration of warfarin education in the outpatient setting affects patients’ knowledge of warfarin and anticoagulation control. Methods The study was a randomised prospective trial. Participants newly commenced on warfarin at The Royal Melbourne Hospital were randomised to either standard inpatient education (n = 19) or to receive an additional comprehensive warfarin education session (n = 21). The primary outcome was warfarin knowledge as assessed by the Oral Anticoagulation Knowledge (OAK) test. Secondary outcomes were time in therapeutic range (TTR) and complications. The duration of follow‐up was 6 weeks. Results There were no significant differences between the intervention and control groups in OAK test scores (16.3/20 vs 14.4/20, respectively; p = 0.07), TTR (56.9% vs 59.3%, respectively; p = 0.09) or in the incidence of complications. Conclusion Within the limitations of a single‐centre, underpowered study, we did not detect any significant additional benefit to patient knowledge from further outpatient warfarin education. Current standard inpatient education at our centre compared favourably with other such designed interventions outlined in previous studies. Nevertheless, it is possible that certain subsets of the population may benefit from additional education, such as those with mild cognitive impairment and those from non‐English‐speaking backgrounds; however, a much greater sample size would be required to study these groups.

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Section: Discussioncontrasting

confidence: 61%

Effect of warfarin education on patient knowledge and anticoagulation control: a randomised controlled trial

Bhatt

McCurdy

Liew

et al. 2018

Pharmacy Practice and Res

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show abstract

“…Six of the studies reported some statistical differences in baseline characteristics between their intervention and control groups . The majority ( n = 10) of studies clearly described the patient flow and where and why losses or drop‐out occurred . In most of these studies, the retention rate was ≥ 80%.…”

Section: Resultsmentioning

confidence: 99%

“…Only four trials reported utilizing existing pharmacist roles, with no further training or funding deemed necessary . The majority of the interventions ( n = 9) involved the community pharmacist making a home visit , one involved telephone communication , one was face‐to‐face interaction in the community pharmacy and three were unclear to the authors as they were not described in detail . These different forms of communication and interaction were performed in order to carry out a follow‐up interview to provide education, counselling, check adherence and medication issues, remove inappropriate/excess medications and provide information on laboratory monitoring.…”

Section: Resultsmentioning

confidence: 99%

A systematic review of the role of community pharmacies in improving the transition from secondary to primary care

Nazar

Portlock

et al. 2015

Brit J Clinical Pharma

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Aim We set out to determine the potential contribution of community pharmacists to improve the transfer of care of patients from secondary to primary care settings. Method We systematically reviewed the literature on interventions that involved community pharmacy post‐discharge. We considered all relevant studies, including both randomized and non‐randomized controlled trials, irrespective of patient population. Our primary outcome was any impact on patient and medication outcomes, while the secondary outcome was to identify intervention characteristics that influenced all reported outcomes. Results We retrieved 14 studies that met our inclusion criteria. There were four studies reporting outcomes relating to the identification and rectification of medication errors that were significantly improved with community pharmacy involvement. Other patient outcomes such as medication adherence and clinical control were not unanimously positively or negatively influenced via the inclusion of community pharmacy in a transfer of care post‐discharge intervention. Some inconsistencies in implementation and process evaluation of interventions were found across the reviewed studies. This limited the accuracy with which true impact could be considered. Conclusions There is evidence that interventions including a community pharmacist can improve drug related problems after discharge. However, impact on other outcomes is not consistent. Further studies are required which include process evaluations to describe fully the context of the intervention so as to determine better any influencing factors. Also applying more stringent controls and closer adherence to protocols in both intervention and control groups would allow clearer correlations to be made between the intervention and the outcomes.

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“…The for health care professionals. The third section (assessment of counselling practice of healthcare professionals for patients on warfarin therapy and they were developed from published studies [20,21]. Data was collected by three volunteer pharmacists after pretested in 5% of study population to check for its clarity, simplicity, understand ability and coherency.…”

Section: Methodsmentioning

confidence: 99%

Healthcare Professionals’ Knowledge and Counseling Practice on Warfarin Therapy at Tertiary Care Teaching Hospital, Addis Ababa, Ethiopia

Feven¹,

Demissew²,

Assefa³

2017

Cardiovasc Pharm Open Access

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Background: Warfarin has been the mainstay oral anticoagulant agent for the last several decades despite its narrow therapeutic index. It is critical for health professionals to have better knowledge and understanding on oral anticoagulant management and on how to give counseling for patients on this therapy. This study assessed healthcare professionals' knowledge and counseling practice on warfarin therapy at Tikur Anbessa Specialized Hospital (TASH).

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The benefits of pharmacist-delivered warfarin education in the home

Cited by 17 publications

References 29 publications

Effect of warfarin education on patient knowledge and anticoagulation control: a randomised controlled trial

Effect of warfarin education on patient knowledge and anticoagulation control: a randomised controlled trial

A systematic review of the role of community pharmacies in improving the transition from secondary to primary care

Healthcare Professionals’ Knowledge and Counseling Practice on Warfarin Therapy at Tertiary Care Teaching Hospital, Addis Ababa, Ethiopia

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