Category: Federal Forum Posters
Purpose: To evaluate the management of inpatient warfarin monitoring at a VA medical center; To compare inpatient warfarin monitoring managed by an internal medicine pharmacist to the hospitalist team
Methods: An electronic chart review was conducted for patients hospitalized between 1/24/2018 and 7/23/2018 with orders for warfarin that were being managed by either the internal medicine pharmacist or by the hospitalist internal medicine team. Patients were excluded if their length of stay was less than 3 days or if a procedure was conducted during hospitalization. Demographic information evaluated included age, gender, length of stay, and warfarin indication. Warfarin monitoring factors evaluated include INR at admission and discharge, number of INR draws during the hospitalization, number of sub- and supra-therapeutic INR levels, number of critical (>5) INRs, and number of concerning medication interactions. Results were evaluated overall for the medical center and by those patients managed by a pharmacist and those managed by the hospitalist team.
Results: not applicable
Conclusion: not applicable
Stephanie Cailor– Pharmacy Resident, Dayton VA Medical Center, Fairborn, OH