Demonstration of anticoagulation patient self-testing feasibility at an Indian Health Service facility: A case series analysis.

Background: Anticoagulation patient self-testing (PST) represents an alternative approach to warfarin monitoring by enabling patients to use coagulometers to test their international normalized ratio (INR) values. PST offers several advantages that potentially improve warfarin management.

Objective: To describe implementation and associated performance of a PST demonstration program at an Indian Health Service (IHS) facility.

Participant perspectives from the Indian Health Service Anticoagulation Training Program.

Background: The Indian Health Service Anticoagulation Training Program serves to improve patient safety through advanced anticoagulation management training. Although post-program evaluations of program content were conducted at the time of program delivery, little is known about translation of these learned skills into clinical practice.

Objective: This research sought to describe levels of self-reported participant confidence in anticoagulation management; development, implementation, and performance management of both core and supplemental activities of anticoagulation clinics or services; and current anticoagulation clinical practices subsequent to participating in the Anticoagulation Training Program.