Witt D M, Tillman D J
Kaiser Permanente, Rocky Mountain Division, Westminster, CO 80234, USA.
Pharm Pract Manag Q. 1998 Oct;18(3):34-55.
The clinical pharmacy anticoagulation service (CPAS) at a large group model health maintenance organization is described. The service has expanded dramatically from a local service providing anticoagulation monitoring for the patients of a single physician to a regional service staffed by seven full-time employees who monitor over 3,000 patients. The structure and operations of the CPAS are described as well as the processes used to manage anticoagulation therapy complications. A program for treating patients with deep vein thrombosis in the outpatient setting using enoxaparin is also described.
本文描述了一家大型团体模式健康维护组织中的临床药学抗凝服务（CPAS）。该服务已从为一名医生的患者提供抗凝监测的本地服务大幅扩展为一项区域服务，由七名全职员工组成，负责监测3000多名患者。文中介绍了CPAS的结构和运作，以及用于管理抗凝治疗并发症的流程。还介绍了一项在门诊环境中使用依诺肝素治疗深静脉血栓形成患者的计划。
