In article <01bd25f6$eb1d7240$LocalHost@default>, Stephen Miell
<[log in to unmask]> writes
>This lunchtime our practice nurses and reception staff had the opportunity to
>tell us how much extra work, grief from patients and general hassle they had
>incurred, as a result of the partners' bright idea of using a computer program
>to handle Warfarin monitoring.
>
>It's now been 3 months and still the extra workload of phlebotomy and explaining
>to the outraged punters why their precious dose has changed again is not
>abating.
>
>Does anyone out there have any insight into when things begin to get better, as
>the computer builds up it's database and starts calling people back less often
>for blood tests?
>
>At the moment we're in the ludicrous position of using GP's time to help with
>the extra phlebotomy workload! Any suggestions gratefully received.
What software are you using?
I have looked at two and am not convinced yet I'm afraid - only benefit
was that it made me look at the INR clinic - found a few people on it
for no obvious reason - also found that nurses did not have
diagnosis/indication recorded often AND often not the dose - just the
change in dose. So a few riot acts later things are a little better -
but we are still manual.
Surely, surely, surely, surely (or even _to be sure, to be sure_ ;) )
someone can come up with something that fits in better with normal
practice - rather than requiring modification of usual practice. Or at
least some eveidence to show that what they advocate in dosing regimes
is sound (and doesn't b*ggar up compliance etc.
Cheers - comments awaited.
--
Jelly Bean [log in to unmask]
When you get fed up surfing....
....go find some waves.
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