TY - JOUR T1 - A nurse led clinic and computer decision support system for anticoagulation decisions was at least as effective as a hospital clinic JF - Evidence Based Nursing JO - Evid Based Nurs SP - 57 LP - 57 DO - 10.1136/ebn.4.2.57 VL - 4 IS - 2 A2 - , Y1 - 2001/04/01 UR - http://ebn.bmj.com/content/4/2/57.abstract N2 - 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.Arch Intern Med2000 Aug 14-28;160:2343–8OpenUrlCrossRefPubMedWeb of Science QUESTION: For patients who require oral anticoagulation, is a nurse led clinic that uses onsite blood testing and a computerised decision support system as effective as routine hospital care for maintaining appropriate international normalised ratios (INRs)? Randomised {allocation concealed}*, unblinded, controlled trial with 1 year of follow up.9 of 21 potential general practices in Birmingham, UK.224 adults (55% men) who were receiving warfarin. Follow up was 82%.122 patients were allocated to nurse led care in the general practice. The nurse met with the patient, measured the INR with onsite equipment, and used the computer program (Anticoagulation Management Support System [Softop Information Systems, Warwick, UK]) to direct dosing decisions. The program was … ER -