Kish Katie, Lekic Sanela
Department of Pharmacy Cleveland Clinic - Main Campus Cleveland Ohio USA.
Department of Pharmacy Cleveland Clinic - Beachwood Beachwood Ohio USA.
J Am Coll Clin Pharm. 2021 Sep;4(9):1154-1160. doi: 10.1002/jac5.1470. Epub 2021 Jun 8.
Due to community transmission of coronavirus disease 2019 (COVID-19), social distancing and stay-at-home orders were implemented statewide in an effort to limit the spread of disease. This posed unique challenges for patients on medications requiring close and continued monitoring by clinic staff, such as anticoagulation clinics. Thus, innovative measures were implemented at Cleveland Clinic Health System (CCHS) to maintain the health and care of ambulatory patients. An initiative to evaluate patients for warfarin to direct oral anticoagulants (DOAC) conversion was used in the pharmacist-run anticoagulation clinics. This article describes how patients were screened for eligibility, the education to pharmacists, the utilization of student learners in the process, and the workflow for provider notification of conversion. Follow up monitoring, challenges encountered, and future directions are also described.
由于2019冠状病毒病(COVID-19)的社区传播,该州实施了社交距离措施和居家令,以努力限制疾病传播。这给需要诊所工作人员密切持续监测的药物治疗患者带来了独特挑战,比如抗凝门诊的患者。因此,克利夫兰诊所医疗系统(CCHS)采取了创新措施来维持门诊患者的健康和护理。在药剂师管理的抗凝门诊中,开展了一项评估患者从华法林转换为直接口服抗凝剂(DOAC)的计划。本文描述了如何筛选患者的资格、对药剂师的培训、在此过程中对学生学习者的利用,以及向医疗服务提供者通报转换情况的工作流程。还介绍了后续监测、遇到的挑战以及未来方向。