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Published on: February 28, 2012
Implementation and evaluation of a warfarin patient self-management (PSM) program among experienced patients in a
Ryan P Fleming1, Sara R Vazquez1, Daniel M Witt2
1University of Utah Health Thrombosis Service, Salt Lake City, UT, USA.
Abstract:
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.
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