Challenges of Anticoagulation Management Service and Need of Establishing Pharmacist-Led Anticoagulation Clinic in Tertiary Care Teaching Hospital, Ethiopia: A Qualitative Study

Figures & data

Table 1 Socio-Demographic Characteristics of Healthcare Professionals (N=17)

Variables		N	(%)
Sex	Male	16	94.12
	Female	1	5.88
Age (in years)	30–39	7	41.18
	40–49	6	35.29
	50–59	4	23.53
Maximum qualification	Cardiologist (Adult and Pediatric)	6	35.30
	Surgeon (Cardiothoracic and Orthopedic)	3	17.65
	Hematologist/Oncologist	3	17.65
	Pharmacist and MLT (Pharmacy and Lab Heads)	2	11.76
	Gynecologist and Obstetrician	1	5.88
	Emergency Medicine Specialist	1	5.88
	Internist	1	5.88
Year of experience in managing anticoagulation (in years)	2–5	7	41.18
	6–10	4	23.53
	>10	6	35.29

Table 2 Physicians’ Response to the Availability of Functional Protocols for Providing AMS (N=15)

SN	Functional Protocols	No. of Response
		Yes	No
1	Warfarin initiation dosing protocol	3	12
2	Warfarin maintenance dosing protocol	3	12
3	Indication, target INR and duration of anticoagulation	3	12
4	Frequency of INR monitoring	1	14
5	Risk stratification for VTE development assessment	7	8
6	Protocol on VTE prophylaxis and treatment	6	7
7	Risk stratification for bleeding assessment	4	11
8	Contraindication to warfarin and other anticoagulant therapy	4	11
9	List of drugs that interact with warfarin and their management	1	14
10	Warfarin reversal protocol with elevated INR	1	14
11	Patient education on anticoagulation protocol	1	14
12	Anticoagulation management during pre and post-operative	2	13