Development and implementation of a nurse-managed anticoagulation program.

Tom T. Shimabukuro, Joan Kramer, Maura McGuire

Research output: Contribution to journalArticlepeer-review

5 Scopus citations


Nurse-managed anticoagulation is an emerging trend in primary care with the potential to improve the quality, efficiency, and responsiveness of outpatient anticoagulation services. Research indicates that specially trained nurses, using portable international normalized ratio (INR) monitors and decision-support systems, safely and effectively perform independent warfarin-dose adjustment. This article describes the development, implementation, and preliminary evaluation of a nurse-managed anticoagulation program as well as key lessons learned in the process. Factors for success included (a) availability of portable INR monitors, (b) designation of specially trained anticoagulation nurses, (c) use of an effective decision support system, and (d) support from staff and management.

Original languageEnglish (US)
Pages (from-to)4-12; quiz 12-13
JournalJournal for healthcare quality : official publication of the National Association for Healthcare Quality
Issue number1
StatePublished - Jan 1 2004

ASJC Scopus subject areas

  • Health Policy
  • Public Health, Environmental and Occupational Health


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