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Design of an Online Continuing Education Module: Herbal and Dietary Supplements Impact Warfarin Safety and Efficacy
Abstract
This chapter details the design of an online continuing education module (Quarterly Education Module, QEM) intended to educate more than one thousand clinicians in a large western U.S. healthcare system about Herbal and Dietary Supplement (HDS)-drug interactions and induce them to bridge the patient-physician communication gap. Despite the importance and relevance of the QEM and its successful pilot, this fully-developed QEM has a delayed launch due to the departure of its administrative champion. The core instructional objective was a behavior change: Clinicians must ask patients about HDS use when taking a medical history and document this use in the medical record. HDS use is prevalent among Americans and sales are increasing. When taken in conjunction with prescription medications, HDS-drug interactions are common and may result in unexpected and serious patient harm. Patient's failure to report HDS use to their medical provider, and a provider's failure to ask specifically about HDS use, further complicate the picture.
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