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Table 1 Extended INR testing policies by anticoagulation clinic

From: Barriers and facilitators to reducing frequent laboratory testing for patients who are stable on warfarin: a mixed methods study of de-implementation in five anticoagulation clinics

 

Definition of “stable warfarin patient”

Maximal allowed INR testing interval

Clinic 1

12 weeks without maintenance dose change and no out of range INRs

10 weeks

Clinic 2

6 months without a weekly dose change and no INRs >10% above/below therapeutic range

12 weeks

Clinic 3

6 months without a weekly dose change and no INRs >10% above/below therapeutic range (both have to be met)

6 weeks

Clinic 4

10 weeks of no INRs > 10% above/below therapeutic range

6 weeks

Clinic 5

4 months without any INRs >10% out of range and no weekly dose change

6 weeks