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DAWN AC Anticoagulation Software E-Newsletter
   August 2007 
 
  IN THIS ISSUE
 
  • UK Patient Safety Indicators
  • Warfarin is more effective than aspirin for stroke prevention
  • Dawn AC User Group 
  • North American User Group Agenda
  • FDA alters Warfarin label to reflect gene tests for Bleeding Risks
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    Welcome to the August edition of the DAWN AC Anticoagulation Software E-Newsletter for 2007.

     

       
        
     
     

     

    UK Patient Safety Indicators  

    Due to a growing need for audit measures, we are currently looking at the National Patient Safety Agency alert released in March of this year with a view to issuing a collection of standard reports (for both Dawn AC version 6 and version 7) to provide the information suggested by the guidelines.

    We are planning to present our proposed solution on how Dawn AC will help meet these audit measures at our User Group in September, where Professor Cousins from the NPSA is giving a talk. This should provide a good opportunity to discuss the reports and gain feedback from Professor Cousins and the delegates before issuing the final versions.

    These reports will be available in October/November this year.

    Warfarin is more effective than Aspirin for Stroke Prevention

     

    Warfarin is more effective than aspirin for stroke prevention among elderly patients with atrial fibrillation, and does not appear to increase the risk of major bleeds, according to a recent trial carried out at Birmingham University recently.

     

    A randomised trial was carried out with nearly 1000 patients aged 75 and over with atrial fibrillation. It was found that the patients who took warfarin had a 52% lower risk of intracranial hemorrhage, hemorrhagic stroke, ischemic stroke or significant aterial embolism than the patients who were given aspirin.

     

    Additionally, it appeared that warfarin did not increase the risk of major hemorrhages compared to aspirin, according to Jonathon Mont at Birmingham University.

     

    "These data lend support to the use of anticoagulation for all people aged over 75 years who have atrial fibrillation, unless there are contraindications or the patient decides that the size of the benefit is not worth the inconvenience of the treatment," the authors wrote.

     

    To view the full article, follow the link below:

     

    http://www.medpagetoday.com/Neurology/Strokes/tb2/6384

     

     

    Dawn AC Anticoagulation Software 15th User Group 2007

    This year's user group is shaping up to be another excellent meeting! Please see our provisional agenda below. It is essential that we receive your booking forms as soon as possible to save disappointment.

    Following the success of last years User Group, we have decided to hold the event again in the popular Rheghed Centre. This is because The Rheghed is actually much more accessible for everybody to attend, as it is only two minutes off the M6 Motorway, J40.

    The provisional agenda so far is as follows:

     

    "Anticoagulant Safety Notice and Dawn AC"

    Prof David Cousins, UK National Patient Safety Agency & George Kitching, 4S Dawn Software

     

    "GAS and Safety Risks"

    Sr Anne Marie Etherington, Lead Nurse Practitioner, Glasgow Anticoagulation Service

     

    "An Integrated Multicenter Solution with DAWN AC v7"

    Lisa Vaughn, RN CACP, Nurse Clinician, Wenatchee Valley Medical Center, USA

     

    "How Dawn AC Operates in Belgium University Hospital"

    Stephane Eeckhoudt, PhD, Head of Haemostasis and Thrombosis Laboratory, Cliniques Universitaires Saint Luc, Brussels

     

    "NEQAS – INR Dosing Survey Results"

    Dr Rhona MacLean, Consultant Haematologist, Royal Hallamshire Hospital, Sheffield

     

    "Traveller’s Thrombosis"

    Dr Patrick Kesteven, Freeman Hospital, Newcastle upon Tyne

     

    "First Episode DVT: Audit of Short and Long-term outcome following Warfarin Treatment"

    Dr David Wright, Consultant Haematologist, Mid Yorkshire NHS Trust

     

    "Automation: Embracing New Technologies to Improve the Safety and Efficiency"

    Steve Davidson, Senior Clinical Nurse Specialist - Haemostasis & Thrombosis Service,

    Queens Medical Centre, Nottingham

     

    "Examination & Assessment of a Suspected DVT"

    Sarah Munro, Anticoagulation Sister, Luton Treatment Centre

     

    "Service Specification for the Nurse Led Management of Suspected DVT"

    Alison Meynell, Lead Nurse/ Anticoagulation Sister, Luton Treatment Centre

     

    "Implementing NICE Guidelines for Thromboprophylaxis, the Highs and Lows"

    Sue Bacon, CNS DVT, Scarborough Hospital

     

    "Instituting a Seamless Transition from the Inpatient to Outpatient Arena for Patients Newly Started on Warfarin With or Without Low Molecular Weight Heparin (LMWH)"

    Lyn Oertel, Mass General, USA

     

     

    "Commissioning of Anticoagulation Services"

    Eric Watts, Consultant Haematologist, Basildon

      

    The User Group, as many of you know, offers the chance for anticoagulation providers to share ideas and learn alternative methods of best practice within Anticoagulation therapy. As well as the day being informative and beneficial, we try to make the event enjoyable by providing an evening meal within the package price.

     

    North American User Group Agenda

     

     

    The North American User Group is going to be held on the 12th October in Denver, the day before the South West Symposium on Thrombosis and Hemostasis, also being held in Denver, making this, potentially, a very informative and worthwhile trip.

     

    We now have a provisional agenda for this meeting as follows:

     

    Meeting location: Exempla St. Josephs Russell Pavilion, Sterne Elder Room, 1835 Franklin Street, Denver, CO 80205

     

    8:00 to 8:30 am - Registration and Breakfast

     

    8:30 to 8:45 am - Welcome: Daniel Witt, PharmD and representative from 4S

     

    8:45 to 9:35 am - Presentation: 4S

     

    9:35 to 10:00 am - Presentation: Pricilla DiCarlo, RN, BS Ed; Group Health Cooperative, Seattle, WA

     

    10:00 to 10:15 am - Break

     

    10:15 to 10:50 am - Presentation: Brian Schilling, BS Pharm, Pharm.D., R.Ph, CDM, CACP, NCPS, BCPS, CDR (USPHS); Coordinator Anticoagulation Clinic Family medicine clinical pharmacist, Alaska Native Primary Care Center

     

    10:50 to 11:20 am - Presentation: Amy Kramer, PharmD; Kaiser Permanente Ohio

     

    11:20 to 11:55 am - Presentation: Laura Earl, RN; University of New Mexico

     

    11:55 am to 1:15 pm - Lunch

     

    1:15 to 1:50 pm - Presentation: Janet Jensen, RN-BSN: Shapes Anticoagulation Clinic, Salem, OR

     

    1:50 to 2:25 pm - Teresa Hodgkins, PharmD; Director Anticoagulation Center Desert Medical Group/Oasis IPA

     

    2:25 to 3:00 pm - Presentation: Lisa Vaughn, Wenatchee Valley Medical Center

     

    3:00 to 3:15 pm - Break

     

    3:15 to 3:50 pm - Presentation: Geoff Lewis, MSc, Chief Clinical Pharmacist, Ottawa Hospital – Civic Campus

     

    3:50 to 4:25 pm - Presentation: Richard Creamer, PharmD, BCPS; Supervisor, Clinical Pharmacy Anticoagulation Service, Kaiser Permanente Colorado

     

    4:25 to 5:00 pm - Wrap up

     

    If you require any further information regarding this user group, then please contact us on email:sales@4s-dawn.com.

     

     

    FDA Alters Warfarin Label to Reflect Gene tests for Bleeding Risks

     

    On August 16th this year, the FDA changed the label for warfarin (Coumadin) to increase awareness among clinicians of two tests for gene variants that may affect the risk of bleeds after initial dosing.

     

    Officials have found that 30% to 35% of patients who carry the VKORC1 gene have needed a lower dose of warfarin in 30% of cases.

     

     

    In the USA, the one-time-only tests for the gene variants cost between $125 to $500, depending on where the patients have the tests carried out.

     

    Although the agency promotes the steps foward in individualised genetic testing, it is leaving the decision up to clinicians rather than recommending a test in every case.

     

    The FDA officials commented "the labeling change highlights the opportunity for healthcare providers to use genetic tests to improve their initial estimate of what is a reasonable warfarin dose for individual patients. Testing may help to optimize the use of warfarin and lower the risk of bleeding complications from the drug".

     

    The view the full article, please follow the link below:

     

    http://www.medpagetoday.com/ProductAlert/Prescriptions/tb/6434

     

     
     
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