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Board Meetings
(Found: 1)

Agenda

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Scientific publications
(Found: 2)

Papers on anticoagulation published by iPACT members

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Pharmacists’ confidence when providing pharmaceutical care on anticoagulants, a multinational survey

Guidelines on the management of orally anticoagulated patients are continuously evolving, leading to an increased need for pharmacists to be fully integrated in care provision. Objective To identify self-reported gaps in confidence among practicing pharmacists in the area of anticoagulation.

Pharmacists in different work settings in different countries. Method Cross-sectional international survey from October 2015 till November 2016 among pharmacists working in different settings to assess their level of confidence when delivering anticoagulants as well as to identify possible educational needs regarding this medication class. Validation of the survey was ensured.

Responses from 4212 pharmacists originating from 18 countries were obtained. Pharmacists’ level of confidence was significantly higher (p < 0.001) when advising patients on vitamin K antagonists (VKAs) versus non-vitamin K antagonists (NOACs). In general, hospital pharmacists displayed higher confidence levels compared to community pharmacists when advising patients on anticoagulation (p < 0.001). Two distinct patterns of confidence levels emerged relating to basic and advanced pharmaceutical care. Confidence levels when providing advanced pharmaceutical care were significantly higher for Oceania and lower for South America (p < 0.005).

Pharmacists felt more confident in supporting patients receiving VKAs compared to the more recently introduced NOACs. With the increasing use of NOACs and the risks pertaining to anticoagulation therapy, it is essential to invest in education for pharmacists to address their knowledge gaps enabling them to confidently support patients receiving oral anticoagulants.

Author: John Papastergiou, Nadir Kheir, katerina.ladova, Silas Rydant, Fabio de Rango, Sotiris Antoniou, Reka Viola, Lola Murillo, Stephane Steurbaut, Filipa Alves da Costa

1.08 MB

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Presentations
(Found: 1)

Workshop 'adequate pharmaceutical care in oral anticoagulation'

Workshop 'adequate pharmaceutical care in oral anticoagulation

A 2h workshop was developed by iPACT for ESCPand had over 40 participants. The workshop had a precourse (e-learning) and the workshop itself, The focus was to discuss the big challenges with oral anticoagulation (correct dosing, adherence) through real cases.

Author: Stephane Steurbaut, Bart van den Bemt, Silas Rydant

3.4 MB

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Practical tools
(Found: 1)

Infographic on the NOAC

Around 12,500 strokes are caused by atrial fibrillation (AF) in the UK each year, and 7,100 of these are preventable with appropriate anticoagulation. Four new oral anticoagulants (NOACs) are now available in the UK in addition to warfarin.

In this link you'll find a handy oversight of the most relevant topics when using NOAC.

Author: The Pharmaceutical Journal

153.07 KB

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Posters
(Found: 3)

Are Confidence Levels of Hospital Pharmacists Different from Other Pharmacists in the Management of Anticoagulation Therapy Preliminary Results from a Multinational Pharmacists Needs Assessment Survey.

The purpose of this needs assessment survey is to identify self-reported gaps in competences and confidence among practicing pharmacists in the area of anticoagulation; to identify variances in confidence levels between community and hospital pharmacists; and to examine areas of anticoagulation with varying needs.

These results highlight the apparent lack of confidence by both community and hospital pharmacists when discussing anticoagulation, particularly DOACs. Future continuing education programs should be developed on electronic platforms focusing on practical clinical themes that apply across all settings.

Author: John Papastergiou, Fabio de Rango, Silas Rydant, Stephane Steurbaut, Sotiris Antoniou, Filipa Costa, Bart van den Bemt, Nadir Kheir
Tags: EAHP 2017

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Canadian pharmacists needs assessment in the management of anticoagulation therapy.

Author: John Papastergiou, Fabio de Rango, Sotiris Antoniou, Stephane Steurbaut, Filipa Alves da Costa, Silas Rydant, Bart van den Bemt, Xiang Wang, Nadir Kheir
Tags: FIP 2016

591.53 KB

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Pharmaceutical Counselling on Anticoagulation – Identifying Needs of German Community Pharmacies

The role of the community pharmacist has been evolving from product-focused to patientoriented. In this context, pharmaceutical counselling becomes especially important to ensure safe and effective use of drugs. This survey is the German arm of an international survey conducted by the international pharmaceutical anticoagulation care task force (iPACT).

The objective is to identify the educational needs of German community pharmacies assessed by reported self-confidence when advising patients on anticoagulants.

Author: Anna Laven, Fabio de Rango, Silas Rydant, Filipa Costa, Sotiris Antoniou
Tags: PCNE 2017

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Abstracts
(Found: 11)

Benefits of active involvement of community pharmacists in Know Your Pulse awareness campaign

Opportunistic case-finding is recommended as a means to identify the one-third of people with undiagnosed AF. Recent studies have demonstrated the benefit of engaging community pharmacists to ’screen’ for these patients. Know Your Pulse is a proprietary initiative of the UK’s leading heart rhythm charity that facilitates manual pulse rhythm checks for the general public and connects those found to have an irregular rhythm with their primary care practitioner.

Author: Sotiris Antoniou, John Papastergiou, Fabio de Rango, Dale Griffiths, Nadya Hamedi, Helen Williams, Salvador Tous, Trudie Loban, Filipa Alves da Costa, Maria Dolores Murillo

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Awareness campaign on Atrial Fibrillation in Portuguese community pharmacies. Preliminary results

In Portugal, Atrial Fibrillation (AF) has a rate of under-detection of, approximately, 36.0% and one in three strokes is due to AF. Community pharmacies are the most easily accessible health care resource for citizens, and constitute therefore the ideal venue to search for people with possible cardiac abnormalities, such as AF.

The purpose is to raise awareness of AF by conducting a screening campaign aiming to search for people with signs and/or symptoms suggestive of AF in the general population; and to pulse take all patients agreeing to participate.

Author: Filipa Alves da Costa, Sotiris Antoniou, Trudie Loban, João Pedro Aguiar
Tags: PCNE 2017

3.08 KB

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Benefits of active involvement of community pharmacists in ‘Know your pulse awareness’ campaign.

Atrial fibrillation is the most common cardiac arrhythmia globally, responsible for one third of strokes, and often resulting in death or incapacity. This condition, frequently asymptomatic, is estimated to be up to 50% undiagnosed. Reducing this risk with appropriate detection and management strategies offers substantial economic and patient benefits. The International Pharmacist for Anticoagulation Care Taskforce- [iPACT] created a partnership with the Atrial Fibrillation Association (AFA) to test a model whereby pharmacists are actively involved in opportunistic screening for AF initially in all ages as a proof of concept.

Author: Contact person: Sotiris Antoniou and Filipa Alves da Costa, John Papastergiou, Fabio de Rango, Salvador Tous, Nadya Hamedi, Helen Williams, Dale Griffiths, Trudie Loban, Lola Murillo
Tags: ESC 2017

45.08 KB

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Canadian pharmacists needs assessment in the management of anticoagulation therapy.

The purpose of this needs assessment survey is to identify self-reported gaps in competences and confidence
among practicing pharmacists in the area of anticoagulation.

Author: John Papastergiou, Fabio de Rango, Sotiris Antoniou, Nadir Kheir, Stephane Steurbaut
Tags: FIP 2016

115.38 KB

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Defining an international framework for pharmacy standards on oral anticoagulation

To design and characterise a framework of international pharmacy standards for pharmaceutical care application on oral anticoagulation for prevention of Atrial Fibrillation (AF) related strokes.

A clearly defined framework of international standards was developed as a clinical tool and quality assurance to optimise the delivery of care for oral anticoagulation in prevention of AF-related strokes. It will support pharmacists and their teams to develop their professional practice, improve services, and deliver safe and high quality
patient care across all pharmacy settings.

Author: Nadya Hamedi, Craig Coleman, Kurt Hersberger, Niels Kristen, Nadir Kheir, Foppe Van Mil, Bart van den Bemt, Silas Rydant, Sotiris Antoniou
Tags: ESCP 2016

95.76 KB

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High levels of Time in Therapeutic Range (TTR) demonstrated by Community Pharmacy Anticoagulation Service (CPAMS).

CPAMS is an initiative in New Zealand whereby community pharmacists provide a reliable, easily accessible warfarin management service using point of care testing. Previous results demonstrated the value of warfarin service and the high level of patient engagement measured by the TTR achieved, adherence to test date and patient and general practitioner satisfaction surveys.

This is the report of the impact of a wider service rollout.

Author: Dale Griffiths

22.87 KB

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Know your pulse awareness campaign: involving pharmacists for greater outreach

Evidence suggests that up to 1/3 of stroke-related deaths are attributable to atrial fibrillation (AF). This condition, frequently asymptomatic, is estimated to be 50% undiagnosed. Worldwide ageing of the population will impact on the prevalence of heart rhythm disorders, suggesting the need for awareness raising. The Arrhythmia Alliance annually develops an awareness campaign aiming to contribute to improve public awareness, including teaching individuals to check their own pulse rhythm. This year, iPACT created a partnership with the Atrial Fibrillation Association (AFA) to test a model where pharmacists became actively involved in pulse check.

The purpose is to educate people in London about AF and how to undertake manual pulse check; and to screen for
undiagnosed AF.

Author: Nadya Hamedi, Helen Williams, Becky Bell, Trudie Loban, Sotiris Antoniou, Filipa Alves da Costa
Tags: PCNE 2017

3.29 KB

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Knowledge and needs assessment of Belgian pharmacists

The results of the Belgian data of the iPACT survey.

Author: Souad Moudallel, Anke Smeets, Silas Rydant, Fabio de Rango, John Papastergiou, Sotiris Antoniou, Bart van den Bemt, Nadir Kheir, Filipa Alves da Costa, Stephane Steurbaut
Tags: Pharmcare 2017 (Belgium), Dutch

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Multi-national pharmacists needs assessment in the management of anticoagulation therapy.

The International Pharmacists for Anticoagulation Care Taskforce (iPACT) is an expert group committed to enhancing the key role that pharmacists play in anticoagulation management. Pharmacists are ideally suited to monitor patients in this therapeutic area, however, an assessment of their knowledge in providing consultations has not been formally evaluated. The purpose of this needs assessment survey is to identify self-reported gaps in competences and confidence among practicing pharmacists in the area of anticoagulation and to identify variances in confidence levels between different countries.

Author: John Papastergiou, Fabio de Rango, Filipa Costa, Sotiris Antoniou, Stephane Steurbaut, Silas Rydant, Bart van den Bemt, Nadir Kheir
Tags: ESCP

97.18 KB

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Pharmacists’ confidence when providing pharmaceutical care on anticoagulants, a multinational survey

Background Guidelines on the management of
orally anticoagulated patients are continuously evolving,
leading to an increased need for pharmacists to be fully integrated
in care provision. Objective To identify self-reported
gaps in confidence among practicing pharmacists in the area
of anticoagulation. Setting Pharmacists in different work settings
in different countries. Method Cross-sectional international
survey from October 2015 till November 2016 among
pharmacists working in different settings to assess their level
of confidence when delivering anticoagulants as well as to
identify possible educational needs regarding this medication
class. Validation of the survey was ensured. Results
Responses from 4212 pharmacists originating from 18 countries
were obtained.

1.08 MB

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The impact of Pharmaceutical Care interventions on the effective and safe use of oral anticoagulants -- A systematic review

Oral anticoagulants (OAC) have a beneficial effect on the long term survival of patients with atrial fibrillation and venous thromboembolism. However OACs have also side effects such as bleeding, especially when used inappropriately. Pharmaceutical care interventions aim to optimize medicines use and improve patient health outcomes. The literature lacks a review on the impact of Pharmaceutical Care interventions in patients using OAC. Therefore, we systematically assessed the impact of pharmaceutical Care interventions on the effective and safe use of OAC compared to usual care.

Author: Nikki Wartenberg, Nikki Damen, Kurt Hersberger, Sotiris Antoniou, Silas Rydant, Isabelle Arnet, Bart van den Bemt
Tags: ESCP 2016

93.38 KB

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Early detection of AF material
Early Detection of AF materials (joint AFA/iPACT) - English speaking countries
(Found: 10)

1_KYP Pull out card-iPACT

122.94 KB

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3_161020-Checklist - Palpitations-iPACT

1.85 MB

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3_Arrhythmia Checklist-iPACT

1.89 MB

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3_Atrial Fibrillation Checklist-iPACT

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4_Factsheet - Atrial fibrillation-iPACT

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5_161020-Checklist - Your heart in your hands-iPACT

518.49 KB

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7_161019-vh-FINAL-Booklet - Patient and primary care checklist-iPACT

1.98 MB

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DOC 2_KYP Poster-iPACT

8.44 MB

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DOC 2_Poster Detect Correct Protect International-iPACT

2.67 MB

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Pharmacist-led atrial fibrillation reviews save NHS £82m

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Early Detection of AF materials (joint AFA/iPACT) - Chinese speaking countries
(Found: 6)

1 Pull out card KYP China

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2 DPC Stroke Flyer China

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2 Know Your Pulse Poster China

328.14 KB

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4 AF Factsheet HK

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4 AF Patient Information-China

1.07 MB

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Arrhythmia Checklist China

846.8 KB

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Early Detection of AF materials (joint AFA/iPACT) - Czech speaking countries
(Found: 4)

1 KYP Pull out card CZ

803.35 KB

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2 DPC Stroke Poster CZ

250.58 KB

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2 Know Your Pulse Poster CZ

293 KB

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4 AF Factsheet CZ

166.6 KB

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Early Detection of AF materials (joint AFA/iPACT) - French speaking countries
(Found: 4)

1 Pull out card KYP Factsheet France corrected

821.73 KB

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2 DPC Stroke Flyer France

245.2 KB

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2 Know Your Pulse Poster France

282.5 KB

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4 AF Factsheet France corrected

172.7 KB

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Early Detection of AF materials (joint AFA/iPACT) - German speaking countries
(Found: 4)

1 Pull Out card - German corrected

825.25 KB

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2 DPC Stroke Flyer German

256.08 KB

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2 Know Your Pulse Poster German

282.71 KB

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4 AF Factsheet German

169.64 KB

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Early Detection of AF materials (joint AFA/iPACT) - Hungarian speaking countries
(Found: 5)

1 Pull out card KYP Factsheet HUN corrected

830.64 KB

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2 DPC Stroke Flyer HUN

263.45 KB

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2 DPC Stroke Poster HUN

263.45 KB

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2 Know Your Pulse Poster HUN

283.15 KB

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4 AF Factsheet HUN

174.24 KB

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Early Detection of AF materials (joint AFA/iPACT) - Dutch speaking countries
(Found: 3)

1 Pull out card Factsheet Dutch

821.14 KB

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2 DPC Stroke Flyer Dutch

245.84 KB

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2 Know Your Pulse Poster Dutch

271.07 KB

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Early Detection of AF materials (joint AFA/iPACT) - Portugese speaking countries
(Found: 5)

1 Pull out card Portugal

823.81 KB

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2 Poster DPC Stroke Portugal

256.32 KB

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2_Poster-Portuguese-KYP iPACT

1.68 MB

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3 AF Checklist Portugal

275.82 KB

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4_AFA PT Atrial Fibrillation Factsheet-iPACT

359.45 KB

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Early Detection of AF materials (joint AFA/iPACT) - Arabic speaking countries
(Found: 2)

DPC Stroke Flyer Qatar

227.11 KB

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Know Your Pulse Poster Qatar

276.21 KB

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Early Detection of AF materials (joint AFA/iPACT) - Spanish speaking countries
(Found: 11)

1_Spanish - KYP Pull out card iPACT

4.57 MB

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2 DPC Stroke Flyer Spain corrected - Cópia

257.14 KB

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2-FINAL-A4-KYP Poster-Spanish-iPACTv1_SEFAC_2017 - Cópia

926.02 KB

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4 AF Factsheet Dutch

171.05 KB

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4_SPANISH_AFA ES Atrial Fibrillation-iPACT

389.34 KB

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AFcampanya_ICTUS_adhesiu_140mmTR - Cópia

73.91 KB

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Cartell x FARMÀCIES_297x420 - Cópia

480.83 KB

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DOC 2 Final-Detect Correct Protect-Spanish-iPACT

2.67 MB

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DOC 2-FINAL-A4-KYP Poster-Catalan-iPACTv1

867.35 KB

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DOC 2-FINAL-A4-KYP Poster-Spanish-iPACTv1 - Cópia

871.47 KB

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DOC 3 Atrial Fibrillation Checklist-Spanish-iPACT

1.89 MB

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