TY - JOUR T1 - A nurse led clinic and computer decision support software for anticoagulation decisions were as effective as a hospital clinic JF - Evidence Based Medicine JO - Evid Based Med SP - 61 LP - 61 DO - 10.1136/ebm.6.2.61 VL - 6 IS - 2 A2 - , Y1 - 2001/03/01 UR - http://ebm.bmj.com/content/6/2/61.abstract N2 - (2000) Arch Intern Med 160, 2343. Fitzmaurice DA, Hobbs FD, Murray ET, et al.. Oral anticoagulation management in primary care with the use of computerized decision support and near-patient testing. A randomized, controlled trial.. Aug 14/28;. :. –8.OpenUrlCrossRefPubMedWeb of Science
 
 QUESTION: For patients who require oral anticoagulation, is a primary care, nurse led clinic that uses on site testing and computerised decision support software more effective than routine hospital care for maintaining appropriate international normalised ratios (INRs)? Randomised (unclear allocation concealment*), unblinded,* controlled trial, stratified by practice size, with 1 year follow up. 12 of 21 potential general practices and 3 hospital clinics in Birmingham, UK. 224 adult patients (55% men) who were receiving warfarin. Follow up was 82%. 122 patients were allocated to nurse led management in a primary care setting. The nurse met with the patient, measured the INR with on site equipment, and used the computer program (Anticoagulation Management Support System [Softop Information Systems, Warwick, England, UK]) to direct dosing decisions. The program was based on the British Society of Haematology … ER -