• Brit J Hosp Med · Dec 2022

    Anticoagulation for Patients Undergoing Implantation of a Cardiac Implantable Electronic Device.

    • Jennifer Llewellyn, Chinenyenwa Ezeonwumelu, Lynsey Jackson, and Archana Rao.
    • Department of Cardiology, Liverpool Heart and Chest Hospital NHS Foundation Trust, Liverpool, UK.
    • Brit J Hosp Med. 2022 Dec 2; 83 (12): 161-6.

    Aims/BackgroundThe number of cardiac devices implanted increases year on year, as does the complexity of the patients being managed. A large proportion of this patient group have an indication for anticoagulation, and this raises challenges around the perioperative management of these agents.MethodA quality improvement project was conducted to review current practice, understand local experience and improve patient care.ResultsFollowing the initial review, local guidelines were updated, the postoperative anticoagulation decision escalated to the responsible clinician and a clearer pathway for communicating the decision created.ConclusionsThe implemented changes have shown an overall improvement in junior doctor feedback and also clinical documentation in the electronic patient records.

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