PRACTICE POINT

AUDIT POINT

• Indication for anticoagulation

• Appropriate indication(s) for anticoagulation documented

• Screening investigations

• Results of full blood count including platelet count; urea and electrolytes, liver function tests; at entry

• Risk factors for anticoagulation

• Age; past history; drug history; complete list of concomitant diagnoses and current drugs documented at each visit

• Anticoagulation management plan

• Planned duration of anticoagulation treatment document; target INR range specified

• Anticoagulant drug and dose

• Anticoagulant drug and dose documented at each visit; dose adjustments communicated to patient

• Other appropriate therapy

• Additional use of aspirin where indicated e.g. mechanical prosthetic valves

• Anticoagulant control

• INR recorded at each visit; percentage of INRs within target range at each visit

• Follow-up

• Date of next clinic visit documented

• Patient held record

• Fully completed; information on "dos and dont's"; updated at each visit