Improving preprocedure antithrombotic management: Implementation and sustainment of a best practice alert and pharmacist referral process.

ABSTRACT:

Background

Electronic medical record-based interventions such as best practice alerts, or reminders, have been proposed to improve evidence-based medication prescribing. Formal implementation evaluation including long-term sustainment are not commonly reported. Preprocedural medication management is often a complex issue for patients taking antithrombotic medications.

Methods

We implemented a best practice alert (BPA) that recommended referral to an anticoagulation clinic before outpatient elective gastrointestinal (GI) endoscopies. Eligible patients were taking an oral anticoagulant (warfarin or direct oral anticoagulant [DOAC]) and/or antiplatelet medications. Patients referred to the anticoagulation clinic were compared to those managed by the ordering provider. Outcomes

SUBMITTER: Han H 

PROVIDER: S-EPMC8285271 | biostudies-literature | 2021 Jul

REPOSITORIES: biostudies-literature