Warfarin management after discharge from hospital: a qualitative analysis

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dc.contributor.author Stafford, L en_US
dc.contributor.author Van Tienen, E C en_US
dc.contributor.author Peterson, G en_US
dc.contributor.author Bereznicki, L R E en_US
dc.contributor.author Jackson, S L en_US
dc.contributor.author Bajorek, Beata en_US
dc.contributor.author Mullan, J R en_US
dc.contributor.author Deboos, I.M. en_US
dc.contributor.editor en_US
dc.date.accessioned 2012-10-12T03:34:30Z
dc.date.available 2012-10-12T03:34:30Z
dc.date.issued 2012 en_US
dc.identifier 2011002343 en_US
dc.identifier.citation Stafford L et al. 2011, 'Warfarin management after discharge from hospital: a qualitative analysis', Blackwell Publishing, vol. Sept 2011, pp. 1-5. en_US
dc.identifier.issn 0269-4727 en_US
dc.identifier.other C1UNSUBMIT en_US
dc.identifier.uri http://hdl.handle.net/10453/18666
dc.description.abstract What is Known and Objective: Warfarin is recognized as a high-risk medication for adverse events, and the risks are particularly heightened in the period immediately following a patient?s discharge from hospital. This qualitative study aimed to explore the experiences of Australian patients and healthcare professionals of warfarin management in the postdischarge period and identify the benefits and deficiencies of existing systems, to inform the development of a model for a new collaborative post-discharge warfarin management service. Methods: Healthcare professionals, professional organization representatives and patients recently discharged from hospital taking warfarin (consumers) were recruited via purposive, criterion-based sampling within two Australian states. Semi-structured telephone interviews were conducted between August and October 2008 using standard discussion guides. Data were manually analyzed to identify emergent themes using a phenomenological approach. Results: Forty-seven participants were involved in the telephone interviews. Three major themes emerged: (i) appropriate warfarin education is integral to effective warfarin management, (ii) problems occur in communication along the continuum of care and (iii) home-delivered services are valuable to both patients and healthcare professionals. Discussion: Although high-quality warfarin education and effective communication at the hospital?community interface were identified as important in post-discharge warfarin management, deficiencies were perceived within current systems. The role of home-delivered services in ensuring timely follow-up and promoting continuity of care was recognized. Previous studies exploring anticoagulation management in other settings have identified similar themes. Post-discharge management should therefore focus on providing patients with a solid foundation to minimize future problems. What is New and Conclusion: Addressing the three identif ed facets of care within a new, collaborative post-discharge warfarin management service may address the perceived deficiencies in existing systems. Improvements may result in the short- and longer-term health outcomes of patients discharged from hospital taking warfarin, including a reduction in their risk of adverse events. en_US
dc.language en_US
dc.publisher Blackwell Publishing en_US
dc.title Warfarin management after discharge from hospital: a qualitative analysis en_US
dc.parent Journal Of Clinical Pharmacy And Therapeutics en_US
dc.journal.volume Sept 2011 en_US
dc.journal.number en_US
dc.publocation Oxford en_US
dc.identifier.startpage 1 en_US
dc.identifier.endpage 5 en_US
dc.cauo.name GSH.Pharmacy en_US
dc.conference Verified OK en_US
dc.for 111500 en_US
dc.personcode 0000069531 en_US
dc.personcode 0000069535 en_US
dc.personcode 0000069530 en_US
dc.personcode 0000069533 en_US
dc.personcode 0000069534 en_US
dc.personcode 112624 en_US
dc.personcode 0000069538 en_US
dc.personcode 0000074176 en_US
dc.percentage 100 en_US
dc.classification.name Pharmacology and Pharmaceutical Sciences en_US
dc.classification.type FOR-08 en_US
dc.edition en_US
dc.custom en_US
dc.date.activity en_US
dc.location.activity en_US
dc.description.keywords continuity of patient care, patient discharge, qualitative research, warfarin en_US
dc.staffid en_US

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