Telemedicine For Managing Patients on Oral Anticoagulant Therapy

Testa, Sophie; Paoletti, Oriana; Zimmermann, Anke; Bassi, Laura; Cancellieri, Emilia

doi:10.5772/19167

Cited by 6 publications

(14 citation statements)

References 20 publications

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“…The constant increase in patients requiring AVK therapy, especially long‐term treatment for atrial fibrillation and heart valve replacement, has contributed to spread the use of PMs for INR management and has also helped the development of web management, mainly through telemedicine systems .…”

Section: Discussionmentioning

confidence: 99%

“…The constant increase in patients requiring AVK therapy, especially long-term treatment for atrial fibrillation and heart valve replacement, has contributed to spread the use of PMs for INR management and has also helped the development of web management, mainly through telemedicine systems [1,13]. The decentralization of clinical activity through both PMs and telemedicine systems has allowed to improve quality of life, promoting accessibility to healthcare services to an increased number of patients and empowering management strategies.…”

Section: Discussionmentioning

confidence: 99%

“…The strong increase in the number of patients undergoing antithrombotic therapy, especially those on long‐term treatment, has favored the development of new management systems in certain areas , where ACs are now connected with peripheral healthcare units (PHU) involving general practitioners and nursing homes through PMs use and web telemedicine . The aim of these organizations is mainly represented by the improvement of the global quality management through enhancing healthcare accessibility and continuous update of clinical data recording .…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

A global quality control system to check PT‐INR portable monitor for Antivitamin K antagonists

Testa

Paoletti

Bassi

et al. 2014

Int J Lab Hematology

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

A global quality control system to check PT‐INR portable monitor for Antivitamin K antagonists

Testa

Paoletti

Bassi

et al. 2014

Int J Lab Hematology

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show abstract

“…All information, including clinical data, laboratory controls, alerts, prescriptions, and recommendations have to be available in real time through a bidirectional connection [15, 16]. …”

Section: Anticoagulation Clinic and Telemedicine Developmentmentioning

confidence: 99%

The Role of Anticoagulation Clinics in the Era of New Oral Anticoagulants

et al. 2012

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Anticoagulation Clinics (ACs) are services specialized in management of patients on anticoagulant treatment. At present, ACs manage patients chiefly on antivitamin K antagonists (AVKs), but patient population has already changed in the last few years, because of an increase of treatments with other anticoagulant drugs, which require different management systems. The strong increase in the number of patients at AC, mainly on long-term treatment, has determined the development of web management, through telemedicine systems, improving the quality of life and maintaining the same clinical quality levels. New oral anticoagulants (NOAs) have shown to be as effective as AVK antagonists in stroke prevention in atrial fibrillation and for treatment of venous thromboembolism in addition to VTE prophylaxis in orthopaedic surgery, when administered at a fixed dose, but patient adherence and compliance are crucial for good quality treatment. At present, lacking data from the real world, an oversimplification of treatment with NOAs could cause unjustified risks for patients and also a possible future underuse of good drugs. For these reasons the vigilance must be high and ACs can have a crucial role in defining which is the best management for NOA patients and how to do it, as it happened for AVKs.

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“…For example, these effects can be studied in two categories of patients and employees. Employees’ burnout and dissatisfaction,[ 5 ] nosocomial infections, mortality, patients’ negative outcomes,[ 5 ] discomfort and dissatisfaction,[ 6 ] increased medical errors,[ 7 ] and reduction in patient safety[ 8 ] are some of the negative effects of overcrowding on the patients which have been reported in the studies. For instance, Clements et al .…”

Section: Introductionmentioning

confidence: 99%

Factors affecting the overcrowding in outpatient healthcare

Bahadori

Teymourzadeh

Ravangard

et al. 2017

J Edu Health Promot

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Background:The expansion of outpatient services and the desire to provide more outpatient care than inpatient care create some problems such as the overcrowding in the outpatient clinics. Given the importance of overcrowding in the outpatient clinics, this qualitative study aimed to determine the factors influencing the overcrowding in the specialty and subspecialty clinic of a teaching hospital.Materials and Methods:This was a qualitative study conducted in the specialty and subspecialty clinic of a hospital using content analysis method in the period of January to March 2014. The study population was all managers and heads of the outpatient wards. The studied sample consisted of 22 managers of the clinic wards who were selected using the purposive sampling method. The required data was collected using semi-structured interviews. The collected data was analyzed using conventional content analysis and the MAXQDA 10.0 software.Results:Three themes were identified as the main factors affecting the overcrowding including the internal positive factors, internal negative factors, and external factors.Conclusions:Despite the efforts made to eliminate overcrowding, and reduce waiting times and increase access to the services for patients, the problem of overcrowding still has remained unresolved. In addition, the use of some strategies such as clarifying the working processes of the clinic for staff and patients and the relationships between the clinic and other wards especially emergency department, as well as using a simple triage system on the patients’ arrival at the clinic are recommended.

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Telemedicine For Managing Patients on Oral Anticoagulant Therapy

Cited by 6 publications

References 20 publications

A global quality control system to check PT‐INR portable monitor for Antivitamin K antagonists

A global quality control system to check PT‐INR portable monitor for Antivitamin K antagonists

The Role of Anticoagulation Clinics in the Era of New Oral Anticoagulants

Factors affecting the overcrowding in outpatient healthcare

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