Table 2

Comparison of outcome measures before and after implementing a pharmacist-managed warfarin order set among hospital patients receiving warfarin

A. Medical patients
Outcome measurePreimplementation
(n=7200)
Postimplementation
(n=6856)
P values
n (%)n (%)
High INR399 (5.6)237 (3.4)<0.001
Low INR*1888 (51.8)1772 (50.4)0.332
Bleeding109 (1.5)125 (1.8)0.152
DVT5 (0.1)10 (0.2)0.201
PE7 (<0.1)3 (0.1)0.345
Stroke5 (0.1)15 (0.2)0.024
MI18 (0.3)8 (0.1)0.078
Any thrombosis35 (0.5)35 (0.5)0.905
Hold warfarin1160 (16.2)1090 (15.9)0.959
Missing INR on any day4703 (65.3)2059 (30.0)<0.001