Incidence of all adverse events (all thromboemboli,
major bleeds, and strokes) by intensity of anticoagulation. INR-specific
incidence rates for all major adverse events per 100 person –years. The
dotted lines are the 95% confidence intervals around the incidence.
Here is how Dawn AC helps reduce these risks.
Better Dose Adjustment
As mentioned in the Randomised Study (Ref, Poller et
al, The Lancet, vol,352 no.9139 pages 1505-1509) Dawn AC achieved 20% to
30% better control in terms of our algorithm (see model two) than
experienced Healthcare Professionals. See Graph
2) Better Communication
Assuming that with the better information provided by
the Dawn AC computer service, besides the dosing ability, then GP’s,
Specialists and nursing staff are altogether better informed of the
patients status, this will without doubt contribute to the lowering of
the major incidence rate.
For example, the GP doesn’t prescribe an interacting
drug, the computer keeps the GP informed of the patients status, with
out creating a huge administration burden.
3) Well informed patients
The computer system could also be used to remind the
Patient to tell the GP they are on Warfarin, say, on a six monthly
basis, whilst perhaps also reminding them of dietary contributions to
their welfare. With this added benefit to patient management you are
then facilitating an even greater impact to limit the inadvertent
prescription of an interacting drug and reminding the patient of which
foods to be aware of , thus, making a considerable contribution to the
reduction of the Major incidence rate.
