Anticoagulation for Patients Undergoing Implantation of a Cardiac Implantable Electronic Device. (2nd December 2022)

• Record Type: Journal Article
• Authors: Llewellyn, Jennifer; Ezeonwumelu, Chinenyenwa; Jackson, Lynsey; Rao, Archana
• Is Part Of: British journal of hospital medicine. Volume 83:Number 12(2022)
• Page Start: 1
• Page End: 6
• Publication Date: 2022-12-02
• Subjects: Anticoagulation -- Cardiac device -- Patient journey -- Perioperative care -- Quality improvement project; Medicine -- Periodicals; Hospital care -- Periodicals; 610.5
• DOI: 10.12968/hmed.2022.0213
• Languages: English
• ISSNs: 1750-8460

Abstract

Abstract : Aims/background: The 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. Method: A quality improvement project was conducted to review current practice, understand local experience and improve patient care. Results: Following 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. Conclusions: The implemented changes have shown an overall improvement in junior doctor feedback and also clinical documentation in the electronic patient records.