Pubentz M J, Calcagno D E, Teeters J L
Lutheran General Hospital-Advocate Health Care, Niles, IL 60714, USA.
Pharm Pract Manag Q. 1998 Oct;18(3):1-16.
An internal chart review of warfarin patients revealed a 44 percent complication rate resulting in higher treatment costs, and identified patient noncompliance, access to monitoring, and insufficient patient education as contributing factors. A warfarin usage guideline was created to assist physicians with warfarin management and subsequently the Anticoagulation Center (ACC) was established. To date over 950 patients have been managed through the ACC with therapeutic international normalized ratios an average of 82 percent of the time. Fewer bleeds and treatment failures have occurred in the ACC group, and a patient satisfaction survey revealed that ACC patients were very satisfied with their care more often than non-ACC patients.
一项对华法林患者的内部图表审查显示，并发症发生率为44%，导致治疗成本增加，并确定患者不依从、监测机会以及患者教育不足为促成因素。制定了华法林使用指南以协助医生进行华法林管理，随后成立了抗凝中心（ACC）。迄今为止，已有超过950名患者通过ACC进行管理，治疗期间国际标准化比值平均达标时间为82%。ACC组发生的出血和治疗失败情况较少，一项患者满意度调查显示，ACC患者对比非ACC患者更常对其护理非常满意。
