The purpose of this study is to evaluate the impact of a hospital quality improvement (QI) program on the use of guideline-recommended oral anticoagulants (OAC) in hospitalized patients with atrial fibrillation (AF) at risk for ischemic stroke. Specifically, the study will determine whether the intervention, compared to Usual Care, will result in a greater increase in the proportion of patients with AF at risk for ischemic stroke who are appropriately treated with OAC.
Study Type
OBSERVATIONAL
Enrollment
2,000
Change in the Percentage of Patients Treated With OAC From Baseline to Final Collection Periods
The impact of a hospital quality improvement (QI) program on the use of guideline-recommended oral anticoagulants (OAC) in hospitalized patients with atrial fibrillation (AF) at risk for ischemic stroke will be evaluated by measuring change in the percentage of patients treated with OAC, from baseline to Final Collection Periods.
Time frame: Baseline up to 20 months
Percentage of Patients Readmitted to the Same Hospital
Percentage of patients readmitted to the same hospital for all-cause readmissions, stroke-related readmissions, cardiovascular (CV)-related readmissions, and bleeding- related readmissions will be evaluated.
Time frame: Up to 20 months
Percentage of Patients who Received OAC by Hospital Characteristics Subgroups
Use of OAC at the end of study by hospital characteristics subgroups (that is, patients care mix, infrastructure-bed size, staffing, academic status, location, urban/rural, provider) will be determined.
Time frame: End of study (Month 20)
Effect of Tools Components of the QI Program on the use of OAC
The effect of the educational process-based components of the QI program relative to the Usual Care arm on the use of OAC will be evaluated.
Time frame: End of study (Month 20)
Effect of Degree of Engagement in the QI Program
A performance dashboard will be implemented to aggregate and display performance data.
Time frame: End of study (Month 20)
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
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