EDUCATIONAL WORKSHOPS ON HEMATOLOGY AND CONTINUITY OF CARE IN PEDIATRIC ORAL ANTICOAGULATION:IMPACT ON OUTCOMES AND CLINICAL SAFETY THROUGH REMOTE MONITORING

Introduction Children receiving oral anticoagulant therapy show considerable variability in monitoring, with suboptimal time in therapeutic range (TTR), which increases the risk of thrombotic or hemorrhagic complications. Engaging patients and families through educational workshops coordinated between Hematology and Continuity of Care helps identify their concerns and provide digital tools for early detection of anticoagulation-related risks, improving communication with healthcare professionals. This approach aims to achieve better laboratory outcomes, higher TTR, and greater clinical safety. Our objectives were to describe the workshops conducted, assess educational effectiveness through analytical (TTR) and clinical outcomes (emergency visits and complications), and evaluate the use of the Web Dialogue (WD) platform and family satisfaction Method The project is based on three pillars: patient and family voice, clinical safety, and reduction of care variability. In 2024, four workshops on oral anticoagulation were conducted. Results were analyzed from January 2025 onward: Analytical outcomes: TTR was evaluated using the Rosendaal method, calculated as (number of INRs within therapeutic range / total INR) per patient. Patients were grouped as follows: A75%. INRs from adjustment or temporary interruption periods were excluded. Clinical outcomes: Emergency visits and thrombotic or hemorrhagic complications were recorded. Communication and satisfaction: Interactions through WD (real-time remote contact with physician/nurse) and satisfaction surveys were analyzed. Results 22 families participated. Workshops addressed proper INR control, response to abnormal results, and urgent contact with professionals, promoting WD as a communication channel. Analysis showed a significant improvement in TTR across all age groups. A total of 96.2% of children maintained a TTR>75%, including five patients achieving 100%. Emergency visits decreased by 47% compared to previous years. Only four minor bleeding events were recorded, with no thrombotic events. Eighty-one web dialogues were completed, all answered (97% within