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Who is responsible for the care of patients treated with warfarin therapy?

Judy A Lowthian, Basia O Diug, Sue M Evans, Ellen L Maxwell, Alison M Street, Leon Piterman and John J McNeil
Med J Aust 2009; 191 (10): . || doi: 10.5694/j.1326-5377.2009.tb03322.x
Published online: 16 November 2009

In reply: Bereznicki and colleagues have reinforced the importance of patient education in optimising warfarin safety, while highlighting the need for role clarification in its provision.


  • 1 NHMRC Centre of Research Excellence in Patient Safety, Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, VIC.
  • 2 Melbourne Pathology, Melbourne, VIC.
  • 3 Haemostasis and Thrombosis Unit, Alfred Health, Melbourne, VIC.
  • 4 Monash University, Melbourne, VIC.



  • 1. Garcia DA, Witt DM, Hylek E, et al. Delivery of optimized anticoagulant therapy: consensus statement from the Anticoagulation Forum. Ann Pharmacother 2008; 42: 979-988.
  • 2. Fang MC, Machtinger EL, Wang F, Schillinger D. Health literacy and anticoagulation-related outcomes among patients taking warfarin. J Gen Intern Med 2006; 21: 841-846.
  • 3. Hutchison LC, Jones SK, West DS, Wei JY. Assessment of medication management by community-living elderly persons with two standardized assessment tools: a cross-sectional study. Am J Geriatr Pharmacother 2006; 4: 144-153.
  • 4. Kimmel SE, Chen Z, Price M, et al. The influence of patient adherence on anticoagulation control with warfarin: results from the International Normalized Ratio Adherence and Genetics (IN-RANGE) Study. Arch Intern Med 2007; 167: 229-235.
  • 5. Newall F, Monagle P, Johnston L. Patient understanding of warfarin therapy: a review of education strategies. Hematology 2005; 10: 437-442.

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