MICA · General Practice & Urgent Care
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FICTIONAL CASE · SELF-REFLECTION WITHOUT A SCORE
A patient stable on warfarin receives tramadol from another prescriber. Bruising develops a week later. Neither the new prescriber nor the INR-monitoring team had the complete medicine list.
Which coordination failure needs correction?
The incomplete list prevented detection of a known interaction. Promptly assess bleeding, check INR as appropriate and coordinate management between prescribers. Explain the importance of reporting new medicines. Merely spacing tablets or independently reducing warfarin is not an adequate response.