Risk management - Answers Involves protecting yourself, your coworkers, and instutition from being
sued AS WELL AS protecting your patients and improve and assure quality of care
Leading cause of ER visits - Answers Warfarin.
Rate of Hemorrhage while on warfarin - Answers 1.7 to 3.4%
Anticoagulation Management Services - Answers Shown to improve care of warfarin treated patients
Risks - Answers Errors in Management; instructing the patient, patient errors, and inherent risk of
anticoagualtion
Risk Management - Answers Risk Avoidance, Risk reduction, Risk sharing.
Risk Avoidance - Answers Prevention of bad things; Quality Ed, manageable workload, solid process and
policy. Provide quality care
Risk Reduction - Answers Minimize risks. Pt education, good customer services skills, provide quality
care.
Risk Sharing - Answers All parties play a roll in dealing with bad things when they may happen
Key elements of Risk Managment - Answers Educaiton and Qualitiy. But importance of documentation
cannot be underestimated
Provider Education Creation - Answers Set goals, then design program to meet goals (Knowledge of
medications used, knowledge of disease states being treated, knowledge of care of anticoagulant
treated pateints
Education steps - Answers Knowledge (reading lecture), comprehension (discussions), application,
analysis and synthesis (case presentations, practice-based teaching/learning)
Knowledge - Answers CHEST supplement (backbone of AMS -- June 08 volume 133(6). Managment of
Oral Anticoagulation Therapy (Ansel, Oertel, Wittkowski), Managing Anticoagulation Patients in the
Hospital (Michael Gulseth)
Provider Education: Diseases - Answers Epidemiology, causes, threatment, and monitoring of disease
states (afib, stroke, VTE, valvular heart disease). Learning through reading and lecture
Provider Education: Drugs - Answers Pharmacology, PK/PD, interactions, diet, dosing , monitoring, use in
special populations of warfarin, enoxaparin, dalteparin, fondaparinux, heparin. Learning through reading
and lecture
Provider Education: AC managment - Answers Synthesis of knowledge and application: Bridging Tx,
Mgmt of drug interactions, concomitant dx states, dose adjustments, monitoring frequency,