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Warfarin management after discharge from hospital: a qualitative analysis
L Stafford1, E C van Tienen, G M Peterson
1Unit for Medication Outcomes Research and Education (UMORE), School of Pharmacy, University of Tasmania, Hobart, Tas., Australia. leanne.stafford@utas.edu.au
Journal of Clinical Pharmacy and Therapeutics
|October 25, 2011
Summary
Effective warfarin management post-discharge requires better patient education and communication. Home-delivered services are crucial for continuity of care and reducing adverse events for patients on warfarin.
Area of Science:
- Pharmacology
- Patient Care
- Health Services Research
Background:
- Warfarin is a high-risk medication with increased adverse event potential post-hospital discharge.
- Existing warfarin management systems have identified deficiencies in the post-discharge period.
Purpose of the Study:
- To explore Australian patient and healthcare professional experiences with post-discharge warfarin management.
- To identify benefits and deficiencies in current warfarin management systems.
- To inform the development of a new collaborative post-discharge warfarin management service.
Main Methods:
- Qualitative study involving semi-structured telephone interviews.
- Purposive, criterion-based sampling of patients on warfarin and healthcare professionals.
- Phenomenological approach to analyze emergent themes from interview data.
Main Results:
- Three major themes emerged: importance of warfarin education, communication issues across the care continuum, and value of home-delivered services.
- Participants highlighted deficiencies in current post-discharge warfarin management systems.
- Home-delivered services were recognized for their role in timely follow-up and continuity of care.
Conclusions:
- High-quality warfarin education and effective communication are vital for post-discharge management.
- Addressing identified deficiencies through a collaborative service may improve patient outcomes.
- A new service focusing on education, communication, and home-delivered care can reduce warfarin-related adverse events.
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