Guide to anti-coagulation monitoring
The RCGP has issued new
advice on anticoagulation monitoring, which is a national enhanced service under the new contract.
The advice said GPs should ensure computer decision sup-port systems are routinely used to reduce the chance of transcription or handwriting errors.
Adverse events such as thrombotic and haemorrhagic complications should be re-corded and all patients must have a warfarin booklet.
In addition practices should have up-to-date protocols for initiating treatment, dental surgery, minor surgery, transfer from secondary care and dealing with abnormal results out-of-hours.