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Clinics and Practice
Volume 7
Issue 2
10.4081/cp.2017.953
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Clinics and Practice is published by MDPI from Volume 11 Issue 1 (2021). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with PAGEPress.
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Brief Report

Reducing Error in Anticoagulant Dosing via Multidisciplinary Team Rounding at Point of Care

by
Munish Sharma
1,*,
Mahesh Krishnamurthy
1,
Richard Snyder
2 and
James Mauro
3
1
Department of Internal Medicine, Easton Hospital, Easton, PA, USA
2
Department of Nephrology, Easton Hospital, Easton, PA, USA
3
Department of Pharmacy, Easton Hospital, Easton, PA, USA
*
Author to whom correspondence should be addressed.
Clin. Pract. 2017, 7(2), 953; https://doi.org/10.4081/cp.2017.953
Submission received: 8 February 2017 / Revised: 10 March 2017 / Accepted: 17 March 2017 / Published: 20 April 2017

Abstract

The incorporation of a clinical pharmacist in daily rounding can help identify and correct errors related to anticoagulation dosing. Inappropriate anticoagulant dosing increases the risk of developing significant bleeding diathesis. Conversely, inappropriate dosing may also fail to produce a therapeutic response. We retrospectively reviewed electronic medical records of 41 patients to confirm and analyze the errors related to various anticoagulants. A clinical pharmacist in an integrated rounding between the period of February 2016 and April 2016 collected this data. We concluded that integrated rounding improves patient safety by recognizing anticoagulant dosage error used for the purpose of prophylaxis or treatment. It also allows us to make dose adjustments based on renal function of the patient. We think that it is prudent for physicians to pay particular attention to creatinine clearance when dosing anticoagulants in order to achieve the intended dosing effect and reduce the risk of adverse drug events.
Keywords: anticoagulants; clinical pharmacist; multidisciplinary rounding team; reducing medication error; adverse drug effect anticoagulants; clinical pharmacist; multidisciplinary rounding team; reducing medication error; adverse drug effect

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MDPI and ACS Style

Sharma, M.; Krishnamurthy, M.; Snyder, R.; Mauro, J. Reducing Error in Anticoagulant Dosing via Multidisciplinary Team Rounding at Point of Care. Clin. Pract. 2017, 7, 953. https://doi.org/10.4081/cp.2017.953

AMA Style

Sharma M, Krishnamurthy M, Snyder R, Mauro J. Reducing Error in Anticoagulant Dosing via Multidisciplinary Team Rounding at Point of Care. Clinics and Practice. 2017; 7(2):953. https://doi.org/10.4081/cp.2017.953

Chicago/Turabian Style

Sharma, Munish, Mahesh Krishnamurthy, Richard Snyder, and James Mauro. 2017. "Reducing Error in Anticoagulant Dosing via Multidisciplinary Team Rounding at Point of Care" Clinics and Practice 7, no. 2: 953. https://doi.org/10.4081/cp.2017.953

APA Style

Sharma, M., Krishnamurthy, M., Snyder, R., & Mauro, J. (2017). Reducing Error in Anticoagulant Dosing via Multidisciplinary Team Rounding at Point of Care. Clinics and Practice, 7(2), 953. https://doi.org/10.4081/cp.2017.953

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