Anticoagulant risk assessment published
A risk assessment for anticoagulant therapy has been published by the National
Patient Safety Agency. It provides the detailed background evidence for safer practice recommendations that will be made later this year.
Covering oral and injectable anticoagulants, it reviews incident reports
and the published literature and risks and potential solutions. It also
contains a report of a workshop held with patients, which offers insight
into patients’ feelings about the way that services are run. One
participant said that medical consultants often did not understand the
drugs he was using, even when the doctors were offered explanations.
As an example, there had been a lack of recognition that phenindione
was an anticoagulant, confusing it with phenytoin: “You tell them
and their eyes go blank,” the patient said.
The report entitled, “Risk assessment of anticoagulant therapy”,
is available as a PDF file (270K).
The National Patient Safety Agency plans to publish at least four
patient safety alerts during 2006, one of which will focus on safer
use of anticoagulants.
Meeting report p180
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