Integrated, proactive laboratory based approach is effective

BMJ 1996; 313 doi: https://doi.org/10.1136/bmj.313.7060.818c (Published 28 September 1996) Cite this as: BMJ 1996;313:818
  1. R Wilmot, Senior clinical scientist in haematology,
  2. J Banks, Biomedical scientist in haematology,
  3. M C Galvin, Consultant clinical haematologist
  1. Pinderfields General Hospital, Wakefield WF1 4DG

    EDITOR,—We recognise many of the problems outlined by D A Fitzmaurice and colleagues in their editorial on monitoring oral anticoagulant treatment in primary care but think that they are unlikely to be resolved in primary care.1 Lack of consistency is not limited to outpatient anticoagulant treatment; it extends to hospital inpatients and the interface between hospitals and the community. Problems include variation in practice between clinical teams, a dangerously long interval between inpatient induction and the first outpatient appointment for measurement of the international normalised …

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