Delivery of Optimized Inpatient Anticoagulation Therapy

Consensus Statement From the Anticoagulation Forum

Edith A Nutescu PharmD FCCP; Ann K Wittkowsky PharmD CACP FASHP FCCP; Allison Burnett PharmD PhC; Geno J Merli MD FACP; Jack E Ansell; David A Garcia MD


The Annals of Pharmacotherapy. 2013;47(5):714-724. 

In This Article

3. Integration

The inpatient anticoagulation management system should be reliable, sustainable, and seamlessly integrated with all patient-care resources of the health care organization.

Whenever possible, processes and tools utilized by the inpatient system of anticoagulation management should be hard-wired (electronically built and connected) into the health care organization and should not be person-dependent. The anticoagulation management system must incorporate a reliable means of identifying and tracking patients receiving anticoagulant therapy. If an outpatient anticoagulation management system is associated with the hospital and uses computer software for tracking patients, it may be beneficial to adopt the same or a similar software program tailored for inpatient use. Use of evidence-based, standardized, approved anticoagulation order sets is encouraged for initiation and maintenance of anticoagulation to promote consistent, sustainable practices. Hospital administration should provide adequate resources (eg, staffing, technology, and support for clinical initiatives) to ensure sustainability of the anticoagulation management system. Additionally, the inpatient anticoagulation management system must be seamlessly integrated with all patient-care resources in the health care system to facilitate accurate, efficient communication of pertinent patient information and delivery of optimized care. Table 2 provides recommendations for integration of the inpatient anticoagulation system.