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IN THIS ISSUE |
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War Hero's fatal fall linked to drug mix-up
2007 15th User Group
USA User Group
Book printer safety reminder
Blood Clot Risk high in office workers
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Welcome to the May edition of the
DAWN AC Anticoagulation Software E-Newsletter for 2007.
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War Hero's fatal fall linked to Drug
mix-up |
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An inquest conducted
recently revealed that a war veteran bled to death after a fall because
medical staff had not monitored his blood-thinning drugs
adequately. Thomas Martin, 84, a retired stationery store manager, died
after a fall at his home last year. Mr Martin had been taking warfarin
after suffering a clot in his lung. He required close monitoring but was
left unchecked for a month because a request from doctors at the
hospital for GPs and nurses to monitor him was not followed up. An
autopsy revealed that the level of warfarin in Mr Martins body was
dangerously high prior to the fall.
Coroner Dr Reid said:
“The only conclusion I can reach is that Mr Martin died as a result of a
recurrent accidental fall to which confusion, miscommunication,
misunderstanding and loss to the anticoagulation follow-up contributed.”
Senior health officials have been asked to carry out further
investigations into the incident.
To view the full
article, please follow the link below:
http://www.thecnj.co.uk/islington/2007/050407/news050407_11.html
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Dawn AC Anticoagulation
Software 15th User Group 2007 |
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 We
are keen to hear from those of you who would like to give a short talk
at the User Group Meeting, we are offering a ‘speaker’s package’ where
there will be a £100 reduction in the meeting fee and we also
help with your presentation preparation. Please remember that the
meeting is informal and so please don't hold back if you would like to
speak. In response to user requests, we invite you to share how you use
Dawn AC in different settings eg laboratory based, community based with
POC, pharmacist managed. In addition, we would be interested in your
experiences with Version 7.
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.
A list of provisional talks
arranged so far are as follows:
First Episode DVT: audit of short and long-term outcome
following warfarin treatment
Dr David Wright , Mid Yorkshire NHS Trust
Travel and Deep Vein Thrombosis
Dr Patrick Kesteven, Freeman Hospital, Newcastle upon Tyne
Anticoagulant Safety Notice and Dawn AC
Prof David Cousins, UK National Patient Safety Agency
How Dawn AC Operates in Belgium University Hospital
Dr Cedric Hermans, Cliniques Universitaires Saint Luc, Brussels
Automation: Embracing new technologies to improve the safety
and efficiency
Steve Davidson, Queens Medical Centre, Nottingham
The User
Group, as many of you know, offers the chance for Health Care
Professionals 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 and entertainment within the package price.
We have already received some of your booking forms and
therefore, would like to pre-warn people that it is essential that we
receive your forms as soon as possible to save disappointment.
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.
Current speakers include:
- Dan Witt, Head of Anticoagulation at
Kaiser Permanente Colorado
- Priscilla DiCarlo, Manager of
Anticoagulation at Group Health Cooperative, Seattle
- Brian Schilling, Clinical Pharmacist at
Alaska Native Medical Center
- Amy Kramer, Pharmacist at Kaiser
Permanente Ohio
- Laura Earl, RN at the University
Hospital of New Mexico
- Janet Jensen, RN at Salem Hospital
- Teresa Hodgkins, Pharmacist and Director
at Desert Medical Group, Palm Springs
- Lisa Vaughn, RN at Wenatchee Valley
Medical Center
- Richard Creamer, Supervisor at Kaiser
Permanente Colorado
We are in need of
further speakers to contribute to the success of the day. If anyone
would be interested in giving a short presentation, rather like what is
mentioned above, then again we would be keen to hear from you.
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Book printer safety reminder |
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 Reminder
for all 'yellow book' printer users:
If you change your computer or have it
reconfigured in any way, say with other new
software/hardware, please remember to ensure that the printer
driver is configured to print directly to the
printer instead of spooling print jobs for safe operation of
the book printer. This prevents the wrong instruction from previous
patients being printed if the operator does not work rigorously with the
barcode reader checks. If any help is required with the set up or
support of your book printer, then please contact the Dawn AC support
desk for assistance.
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Blood
Clot Risk may be higher in Office Workers than long-haul passengers |
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 According
to a new study carried out at New Zealand's Medical Research Institute
recently, office workers who spend hours sitting in front of a computer
face a higher risk of blood clotting than long-haul flight passengers.
Researchers found that 34 out of 62 patients who were admitted to
hospital with blood clots had been seated at work for long periods
beforehand. This was significantly higher than the 1.5 per cent who had
recently travelled on long-haul flights.
The lead researcher of the study, Professor Richard Beasley, said
that people who are seated for long periods, particularly IT and call
centre workers, are at risk from DVT.
To view the full article, please follow the link below:
http://news.scotsman.com/topics.cfm?tid=633&id=392542007
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