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Rehabil Nurs. 2012 Mar-Apr;37(2):80-7. doi: 10.1002/RNJ.00014.

Warfarin use post hospitalization: pilot comparative effectiveness of telephone follow-up.

Author information

1
University of Delaware, School of Nursing, Newark, DE 19716, USA. cpolek@udel.edu

Erratum in

  • Rehabil Nurs. 2013 Jul-Aug;38(4):213.

Abstract

PURPOSE:

This study's aims were to evaluate patient knowledge of safe warfarin practices early in treatment, and to pilot a nursing telephone follow-up enhancement to a pharmacy-facilitated discharge.

METHOD:

Forty-two randomized patients in either "enhanced follow-up" or "treatment as usual" groups completed the study.

RESULTS:

Enhanced treatment resulted in significant improvement in warfarin knowledge (86% versus 71%). In critical safety related knowledge questions even larger improvements were present (∼96% compared to ∼77%).

DISCUSSION:

The hypothesis that non-adherence generating rehospitalization is a function of poorer knowledge was not supported as there were no warfarin-related readmissions during the study.

CONCLUSION:

The study supports the use of enhanced follow up and the need for larger studies to delineate what patient knowledge prevents rehospitalization and cost effective educational efforts.

PMID:
22434618
DOI:
10.1002/RNJ.00014
[Indexed for MEDLINE]

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