The effects of interprofessional collaboration on nurse managed warfarin program

Protocol-based anticoagulation management for mechanical circulatory support patients can be safe and efficient

“…While other studies showed that nurse-run anticoagulation protocols can be effective in managing INR, the studies were not conducted with LVAD patients, who have unique goals for anticoagulation, and did not analyze outcomes beyond TTR. [2][3][4] Other research has been completed on at-home remote INR management, [28][29][30][31] however these programs are generally limited to stable, low-risk patient populations. In comparison, a nurse coordinator-driven protocol can be used in any outpatient setting where patients need to have their labs drawn in person.…”

“…1 Studies have indicated that nurse-managed anticoagulation programs can safely manage warfarin with an effective protocol. [2][3][4] On the other hand, knowing the complexity of LVAD patients, INR management is typically institutional and provider-dependent. [5][6][7] While other studies have described the efficacy of their center-specific protocol, 8,9 to our knowledge, this is the first study to provide a protocol that can be applied broadly to manage anticoagulation for LVAD patients.…”

Nurse-pharmacist collaborations for promoting medication safety among community-dwelling adults: A scoping review

“… The need for a new care model with increased interprofessional communication, and collaboration to improve care in oncology outpatient clinics. Need for objective measurement tools to eliminate subjective discrepancies depending on patient self-report and provider interpretation Braungart et al., 2018 , USA A nurse- run warfarin clinic 50 Patients who are on Warfarin during the study timeframe, and clients of the clinic, and Warfarin was managed by the clinic. Outpatient clinic settings.…”

“…They identified medication discrepancies during medication reviews ( Lee et al., 2018a ; Meyer-Massetti et al., 2018 ; Porter et al., 2015 ; Setter et al., 2009 ; Taylor et al., 2018 ). Such collaborations identified need to secure medication supply ( Meyer-Massetti et al., 2018 ), observe medication administration techniques ( Perraudin et al., 2016 ), and measure clinical indicators ( Braungart et al., 2018 ; Foubert et al., 2019 ; Meyer-Massetti et al., 2018 ). Nurse-pharmacist collaborations addressed client education by informing clients about the modifiable risk factors, their consequences on overall health and well-being, medication side effects, importance of medication adherence, and lifestyle choices to aid self-management of chronic diseases ( McLean et al., 2008 ).…”

“…Monitoring clinical indicators. A few nurse-pharmacist collaborations have monitored clinical indicators such as blood pressure ( McLean et al., 2008 ), international normalized ratio (INR) ( Braungart et al., 2018 ), and serum panels ( Porter et al., 2015 ) for chronic disease management. Through client education and follow-up, McLean et al.…”