Management of oral anticoagulation in a population of children with cardiac disease using a computerised system to support decision-making
Journal
Cardiol Young
Publication Date
2006 Jun
Volume
16
Issue
3
Pages
256-60
Summary:
- HIT Description: Decision support system More info...
- Purpose of Study: Evaluate use of a computerized decision support system for the management of warfarin anticoagulant therapy in children
- Years of study: Not Available
- Study Design: pre-post
- Outcomes: impact on health care effectiveness and quality
- Settings: children with cardiac disease requiring anticoagulation living in Aukland, New Zealand who had been followed with both a manual system of recording warfarin prescriptions and the computer system
- Intervention: Using a manual versus computer system, compare the percent of time patients were at goal INR, the number of INR checks required over a 28 day period and number of adjustments required.
- Evaluation Method: chart review
- Description: rules-based computer system based on existing guidelines for warfarin management. Requires provider to enter the date and the INR and calculates the dose needed for warfarin
- Quality of Care and Patient Safety Outcome: There were no differences in the number of checks of the INR per patient over 28 days and no difference in the percent of meaurements requiring adjustment in dose