Kevin Oakley
Kevin Oakley is Deputy Haematology Lab Manager / Anticoagulation Service Lead, Pathology First, Southend University Hospital, Prittlewell Chase, Westcliff-on-sea, SS0 0RY.
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Assessing the impact of a targeted pharmacist-led anticoagulant review clinicSubscription
Local guidance, supported by the 2014 National Institute for Health and Care Excellence (NICE) guideline CG180 for atrial fibrillation (AF), recommends that patients receiving inadequate anticoagulation with a vitamin K antagonist (VKA), including time in therapeutic range (TTR) of <65%, should be reassessed. These patients were identified by the anticoagulation monitoring service (AMS) and highlighted to GPs for review. However, up to 59.3% of patients received no revie