1. Audit of Warfarin monitoring
Emily Morrow, Darren Cox, Imogen Taylor
An audit across three practices

2. Content
Purpose of Audit
Rationale
Audit Criteria
Methodology
Results
Comparisons
Recommendations (Doctor interview)
Reflections (Patient interview- emphasis on patient-centred care)
Acknowledgements
References
3. The Practices
3
1
2
Southmead and Henbury Family Practice
Helios medical center
Easton family practice
One of the largest practices in north Bristol comprised of two surgeries working from Southmead and Henbury.
Based in stoke bishop, it features treatment based in conventional medicine, homeopathy and anthroposophical medicine.
An inner city practice which has a diverse cultural and ethnical mix of patients, it shares its premises with Seymour medical practice
4. Purpose of audit
Hemorrhage
Thrombosis
Over 500,000 patients are currently being prescribed warfarin in the UK, with control being a formidable challenge.
The goal of maintenance therapy is to achieve a simple regimen that provides anticoagulation within a narrow therapeutic window.
Therapeutic window
Monitoring is essential to preventing adverse complications
5. Rationale

The NHS litigation authority reports that errors made with anticoagulant medication are one of the ten most common causes of claims made against NHS trusts

6. Between 1990-2002 there were 600 patient safety incidents related to warfarin in the UK. 20% were fatal

Guidelinesconcerning anticoagulation therapy in 2006 and a patient safety alert in 2007 were released by the NPSA.