Automatic INR Dose Adjustment Reminders
Every morning, WebRun opens Cellma, finds INR results that fall outside each warfarin patient's therapeutic range, drafts a short dose-change text in Twilio for your anticoagulation team to review, and logs the full worklist in Google Sheets so nothing is missed.
How do I automatically flag warfarin patients whose INR needs a dose change?
WebRun checks Cellma every morning for INR results outside a warfarin patient's therapeutic range, drafts a plain dose-change text in Twilio for each one, and logs the full worklist in Google Sheets. Every draft waits for clinician review before it reaches a patient, so no dose change goes out unapproved.
- Out-of-range INR results get a same-day draft dose change instead of waiting for the next visit
- Anticoagulation staff open one sheet each morning instead of scanning every chart
- No dose-change text reaches a patient without clinician review
Built for anticoagulation clinics · haematology nurses · warfarin clinic pharmacists · NHS haematology departments
What does WebRun do on every run?
The exact actions WebRun takes, in order - in plain language, so you can adjust anything.
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WebRun signs in and gets to work
Opens
www.riomed.com/haematologyin a real browser with your saved login - no setup, no API keys. -
1
Cellma (RioMed) - find out-of-range INR results
riomed.com
WebRun opens Cellma (RioMed) to find out-of-range INR results. - Open Cellma and go to the coagulation monitoring module
- Filter to today's new INR results for patients on warfarin
- Compare each result to that patient's individual therapeutic range
- Capture the patient, current dose, new INR value, and target range for every result outside range
Done when Every out-of-range INR result today is listed with the patient's current dose and target range.
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2
Twilio - draft dose-change texts for review
twilio.com
WebRun opens Twilio to draft dose-change texts for review. - Draft a short, plain-language dose-change text for each flagged patient using the clinic's standard dosing protocol
- State the new INR value and the suggested dose change clearly
- Save every message as a queued draft in Twilio. Do not send any text to a patient automatically
- Mark any result needing same-day clinical contact so it stands out to the reviewer
Done when A draft dose-change text is queued in Twilio for every flagged patient, waiting on clinician approval.
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3
Google Sheets - log today's dosing worklist
google.com
WebRun opens Google Sheets to log today's dosing worklist. - Open the INR Dosing Worklist sheet
- Append a row for each flagged patient with today's INR, suggested dose, and draft status
- Sort the list by how far out of range each result is, most urgent first
Done when Today's dosing worklist is logged in Google Sheets and sorted by urgency.
How is each run configured?
Secure by default
Connect once, stays signed in
WebRun signs in once and keeps each session in a persistent environment, so every run picks up right where it left off.
Every action is checked against this policy before it runs.
Questions, answered
Will it text patients about a dose change without review?
No. Every dose-change message is saved as a queued draft in Twilio and waits for your anticoagulation nurse or pharmacist to review and send. Nothing goes to a patient automatically.
How does it decide a result is out of range?
It compares each new INR value against that specific patient's individual therapeutic range as set in Cellma, not a single fixed number, so the flag reflects each patient's own target.
What if a patient's INR is already back in range at the next check?
It reads the live result in Cellma each morning, so a patient who returns to range on a later test drops off the worklist automatically.
Related templates
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