A high quality anticoagulation service consists of many key components.
The Excellence in Anticoagulation document from the London Stroke Clinical Network, which is included in the resources below, contains some key examples of service specifications, staff competencies and a checklist for excellence in anticoagulation which can be used to benchmark service provision against.
SOME KEY COMPONENTS OF A HIGH QUALITY ANTICOAGULATION SERVICE INCLUDE:
- Patient education about the benefits and
risks of anticoagulation treatment and the importance of medication adherence.
- Support for patients and carers in the choice of treatment options.
- Support for patients to self monitor and self manage their anticoagulation therapy.
- Staff education to improve skills for supporting self-monitoring and improve adherence.
- Robust mechanisms in place to assess “time in therapeutic range” (TTR) information, with clear protocols to optimise the quality of anticoagulation control.
- Key performance indicators (e.g. referral to treatment time, TTR, adverse events, number of patients self-monitoring/managing warfarin).
- Annual review of the service.