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Please see the below resources for further information.
The British Society of Haematology (also known as the British Committee for Standards in Haematology) has a wealth of nationally-recognised anticoagulation guidelines, including:
This Patient Safety Alert advises healthcare organisations to take steps to manage the risks associated with the prescribing, dispensing and administering of anticoagulants. It includes:
The National Institute for Health and Care Excellence (NICE) has guidelines on the management of:
The European Cardiology Society has a useful guideline on the management of Atrial Fibrillation
The European Heart Rhythm Association has published excellent practical guidance on the safe management and monitoring of patients taking DOACs (direct oral anticoagulants)
The British Society of Gastroenterology has published guidance on the management of patients on warfarin, DOACs and antiplatelet medicines who are undergoing endoscopic procedures.
NEQAS – the UK National External Quality Assessment Service – provides external quality control testing for all anticoagulation point-of-care devices, including the CoaguChek®.
INRstar is a computer decision support system (CDSS) which can assist with anticoagulation dosing, recall and follow up.
Patients who are self-testing can use the ENGAGE app to upload their INR directly from their CoaguChek® INRange device to their INRstar patient record. All the patient needs to do this is an internet-enabled device and an internet connection.
The ENGAGE app also helps patients adhere to their anticoagulant treatment by giving them daily dosing reminders and next test date reminders.