Intended for healthcare professionals

Rapid response to:


Impact of adverse events on prescribing warfarin in patients with atrial fibrillation: matched pair analysis

BMJ 2006; 332 doi: (Published 19 January 2006) Cite this as: BMJ 2006;332:141

Rapid Response:

Prescribing habits of warfarin

Choudhry et al report that physicians do not change their prescribing
habits of warfarin if a patient with known atrial fibrillation (AF) is
admitted with ischaemic stroke. It is probably fair to state that many
doctors learn from their own mistakes to a greater extent compared to the
mistakes of their peers. Imagine a scenario of a particular doctor
learning that he or she omitted to anticoagulate a suitable patient with
AF. If the doctor later learns that the patient suffered an avoidable and
disabling ischaemic stroke then it is likely his or her clinical practice
would change, particularly if a clinical complaint were made. If doctors
were informed of their over-sights, then underprescription of warfarin may
be reduced.

Competing interests:
None declared

Competing interests: No competing interests

23 January 2006
Elliot F Epstein
Consultant Physician
Anil Kumar
Walsall Manor Hospital, Moat Road, Walsall, WS2 9PS