Point-of-Care INR Determination, Coumadin Dosage Changes, and Use of a Historical, Self-Updating Database in a Prison

Coumadin is the most dangerous medicine in common use in primary care medicine as well as in the correctional setting. In the Maryland Division of Correction’s Eastern Correctional Institution, a multivendor collaboration between the medical director and a clinical pharmacist maintained a point-of-c...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Journal of correctional health care 2010-04, Vol.16 (2), p.139-146
Hauptverfasser: Mathis, David, O'Reilly, Keisha
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 146
container_issue 2
container_start_page 139
container_title Journal of correctional health care
container_volume 16
creator Mathis, David
O'Reilly, Keisha
description Coumadin is the most dangerous medicine in common use in primary care medicine as well as in the correctional setting. In the Maryland Division of Correction’s Eastern Correctional Institution, a multivendor collaboration between the medical director and a clinical pharmacist maintained a point-of-care, finger stick international normalized ratio determination using a portable monitor. With an anticoagulation clinic protocol as a guide, changes are considered in the Coumadin dosage and made through the usual procedure. Results are recorded in an electronic patient health record and tracked in a database that shows the current data page as well as updated historical data for each inmate.
doi_str_mv 10.1177/1078345809356536
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_733563341</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_1078345809356536</sage_id><sourcerecordid>1928196432</sourcerecordid><originalsourceid>FETCH-LOGICAL-c279t-cbd001a783b7456115089a18f0b57e4d9a867d932ce29f3709f9be9052e7a763</originalsourceid><addsrcrecordid>eNp1kUFP3DAQRi3UqlDonVNlqQcu63Yc23F8rLJQkFCLCpyjSeJsjRJ7aycH_n29WkAIqSdbmjfP4_kIOeXwlXOtv3HQlZCqAiNUqUR5QI64kcBUAfAu33OZ7eqH5GNKDwBSSak_kMMChDBc8COy3ATnZxYGVmO09Ornb7q2s42T8zi74Fe0DsuEvfN0HRJuLK3_oN_YtKLoe3qfLA0DRXrp0hyi63Bc0Vs7Dux-22eB39A1zthi5rIC6U10KfgT8n7AMdlPT-cxubs4v6sv2fWvH1f192vWFdrMrGt7AI75j62WquRcQWWQVwO0SlvZG6xK3RtRdLYwg9BgBtNaA6qwGnUpjsnZXruN4e9i09xMLnV2HNHbsKRGi7w2ISTP5Jc35ENYos-zNdwUFTelFEWmYE91MaQU7dBso5swPjYcml0gzdtAcsvnJ_HSTrZ_aXhOIANsD-yW--rV_wn_AUdFj7w</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1928196432</pqid></control><display><type>article</type><title>Point-of-Care INR Determination, Coumadin Dosage Changes, and Use of a Historical, Self-Updating Database in a Prison</title><source>MEDLINE</source><source>Alma/SFX Local Collection</source><creator>Mathis, David ; O'Reilly, Keisha</creator><creatorcontrib>Mathis, David ; O'Reilly, Keisha</creatorcontrib><description>Coumadin is the most dangerous medicine in common use in primary care medicine as well as in the correctional setting. In the Maryland Division of Correction’s Eastern Correctional Institution, a multivendor collaboration between the medical director and a clinical pharmacist maintained a point-of-care, finger stick international normalized ratio determination using a portable monitor. With an anticoagulation clinic protocol as a guide, changes are considered in the Coumadin dosage and made through the usual procedure. Results are recorded in an electronic patient health record and tracked in a database that shows the current data page as well as updated historical data for each inmate.</description><identifier>ISSN: 1078-3458</identifier><identifier>EISSN: 1940-5200</identifier><identifier>DOI: 10.1177/1078345809356536</identifier><identifier>PMID: 20339131</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Anticoagulants - administration &amp; dosage ; Correctional personnel ; Drug dosages ; Humans ; International Normalized Ratio ; Maryland ; Medical Records Systems, Computerized ; Medication Errors - prevention &amp; control ; Point-of-Care Systems ; Prisons ; Program Development ; Warfarin - administration &amp; dosage</subject><ispartof>Journal of correctional health care, 2010-04, Vol.16 (2), p.139-146</ispartof><rights>The Author(s) 2010</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c279t-cbd001a783b7456115089a18f0b57e4d9a867d932ce29f3709f9be9052e7a763</citedby><cites>FETCH-LOGICAL-c279t-cbd001a783b7456115089a18f0b57e4d9a867d932ce29f3709f9be9052e7a763</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20339131$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mathis, David</creatorcontrib><creatorcontrib>O'Reilly, Keisha</creatorcontrib><title>Point-of-Care INR Determination, Coumadin Dosage Changes, and Use of a Historical, Self-Updating Database in a Prison</title><title>Journal of correctional health care</title><addtitle>J Correct Health Care</addtitle><description>Coumadin is the most dangerous medicine in common use in primary care medicine as well as in the correctional setting. In the Maryland Division of Correction’s Eastern Correctional Institution, a multivendor collaboration between the medical director and a clinical pharmacist maintained a point-of-care, finger stick international normalized ratio determination using a portable monitor. With an anticoagulation clinic protocol as a guide, changes are considered in the Coumadin dosage and made through the usual procedure. Results are recorded in an electronic patient health record and tracked in a database that shows the current data page as well as updated historical data for each inmate.</description><subject>Anticoagulants - administration &amp; dosage</subject><subject>Correctional personnel</subject><subject>Drug dosages</subject><subject>Humans</subject><subject>International Normalized Ratio</subject><subject>Maryland</subject><subject>Medical Records Systems, Computerized</subject><subject>Medication Errors - prevention &amp; control</subject><subject>Point-of-Care Systems</subject><subject>Prisons</subject><subject>Program Development</subject><subject>Warfarin - administration &amp; dosage</subject><issn>1078-3458</issn><issn>1940-5200</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kUFP3DAQRi3UqlDonVNlqQcu63Yc23F8rLJQkFCLCpyjSeJsjRJ7aycH_n29WkAIqSdbmjfP4_kIOeXwlXOtv3HQlZCqAiNUqUR5QI64kcBUAfAu33OZ7eqH5GNKDwBSSak_kMMChDBc8COy3ATnZxYGVmO09Ornb7q2s42T8zi74Fe0DsuEvfN0HRJuLK3_oN_YtKLoe3qfLA0DRXrp0hyi63Bc0Vs7Dux-22eB39A1zthi5rIC6U10KfgT8n7AMdlPT-cxubs4v6sv2fWvH1f192vWFdrMrGt7AI75j62WquRcQWWQVwO0SlvZG6xK3RtRdLYwg9BgBtNaA6qwGnUpjsnZXruN4e9i09xMLnV2HNHbsKRGi7w2ISTP5Jc35ENYos-zNdwUFTelFEWmYE91MaQU7dBso5swPjYcml0gzdtAcsvnJ_HSTrZ_aXhOIANsD-yW--rV_wn_AUdFj7w</recordid><startdate>201004</startdate><enddate>201004</enddate><creator>Mathis, David</creator><creator>O'Reilly, Keisha</creator><general>SAGE Publications</general><general>Mary Ann Liebert, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201004</creationdate><title>Point-of-Care INR Determination, Coumadin Dosage Changes, and Use of a Historical, Self-Updating Database in a Prison</title><author>Mathis, David ; O'Reilly, Keisha</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c279t-cbd001a783b7456115089a18f0b57e4d9a867d932ce29f3709f9be9052e7a763</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Anticoagulants - administration &amp; dosage</topic><topic>Correctional personnel</topic><topic>Drug dosages</topic><topic>Humans</topic><topic>International Normalized Ratio</topic><topic>Maryland</topic><topic>Medical Records Systems, Computerized</topic><topic>Medication Errors - prevention &amp; control</topic><topic>Point-of-Care Systems</topic><topic>Prisons</topic><topic>Program Development</topic><topic>Warfarin - administration &amp; dosage</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mathis, David</creatorcontrib><creatorcontrib>O'Reilly, Keisha</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of correctional health care</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mathis, David</au><au>O'Reilly, Keisha</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Point-of-Care INR Determination, Coumadin Dosage Changes, and Use of a Historical, Self-Updating Database in a Prison</atitle><jtitle>Journal of correctional health care</jtitle><addtitle>J Correct Health Care</addtitle><date>2010-04</date><risdate>2010</risdate><volume>16</volume><issue>2</issue><spage>139</spage><epage>146</epage><pages>139-146</pages><issn>1078-3458</issn><eissn>1940-5200</eissn><abstract>Coumadin is the most dangerous medicine in common use in primary care medicine as well as in the correctional setting. In the Maryland Division of Correction’s Eastern Correctional Institution, a multivendor collaboration between the medical director and a clinical pharmacist maintained a point-of-care, finger stick international normalized ratio determination using a portable monitor. With an anticoagulation clinic protocol as a guide, changes are considered in the Coumadin dosage and made through the usual procedure. Results are recorded in an electronic patient health record and tracked in a database that shows the current data page as well as updated historical data for each inmate.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>20339131</pmid><doi>10.1177/1078345809356536</doi><tpages>8</tpages></addata></record>
fulltext fulltext
identifier ISSN: 1078-3458
ispartof Journal of correctional health care, 2010-04, Vol.16 (2), p.139-146
issn 1078-3458
1940-5200
language eng
recordid cdi_proquest_miscellaneous_733563341
source MEDLINE; Alma/SFX Local Collection
subjects Anticoagulants - administration & dosage
Correctional personnel
Drug dosages
Humans
International Normalized Ratio
Maryland
Medical Records Systems, Computerized
Medication Errors - prevention & control
Point-of-Care Systems
Prisons
Program Development
Warfarin - administration & dosage
title Point-of-Care INR Determination, Coumadin Dosage Changes, and Use of a Historical, Self-Updating Database in a Prison
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-18T20%3A55%3A41IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Point-of-Care%20INR%20Determination,%20Coumadin%20Dosage%20Changes,%20and%20Use%20of%20a%20Historical,%20Self-Updating%20Database%20in%20a%20Prison&rft.jtitle=Journal%20of%20correctional%20health%20care&rft.au=Mathis,%20David&rft.date=2010-04&rft.volume=16&rft.issue=2&rft.spage=139&rft.epage=146&rft.pages=139-146&rft.issn=1078-3458&rft.eissn=1940-5200&rft_id=info:doi/10.1177/1078345809356536&rft_dat=%3Cproquest_cross%3E1928196432%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1928196432&rft_id=info:pmid/20339131&rft_sage_id=10.1177_1078345809356536&rfr_iscdi=true