University of Utah Health Thrombosis Service, Salt Lake City, UT, USA.
Department of Pharmacotherapy, University of Utah College of Pharmacy, Salt Lake City, UT, USA.
J Thromb Thrombolysis. 2023 Nov;56(4):511-513. doi: 10.1007/s11239-023-02877-9. Epub 2023 Aug 7.
Warfarin patient self-management (PSM) is when a patient independently manages their warfarin therapy using a decision-support tool provided by their anticoagulation provider. Clinical trials of PSM, conducted predominantly in Europe, have consistently demonstrated superior efficacy without compromising safety. However, the evidence-based practice of PSM is rarely utilized in the United States (U.S.). We describe initiatives completed to implement a successful PSM program among experienced warfarin-taking patients in a U.S. academic health system by overcoming perceived barriers. The results showed PSM resulted in similar or improved INR control, and an estimated 68% reduction in pharmacist workload.
华法林患者自我管理（PSM）是指患者使用抗凝提供者提供的决策支持工具独立管理其华法林治疗。PSM 的临床试验主要在欧洲进行，一致证明其在不影响安全性的情况下具有更好的疗效。然而，在美国（美国），很少有基于证据的 PSM 实践。我们描述了为克服感知障碍，在美国学术医疗系统中为经验丰富的华法林服用患者实施成功的 PSM 计划所完成的举措。结果表明，PSM 可实现相似或改善的 INR 控制，估计可减少 68%的药剂师工作量。
