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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.

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