Impact of a Quality Improvement and Education Initiative on 'Appropriate' Use of Anticoagulant Therapy in Women with Atrial Fibrillation
University of Cincinnati
Approved: December 2012
Grant Period: January 2013 – January 2015
The goal of this project is to reduce the risk of stroke in women by using a computerized decision support tool for individual patient-level decision-making about oral anticoagulant therapy (OAT) in ambulatory patients with non-valvular atrial fibrillation (AF).
We propose to study the impact of adding a quality-improvement (QI) intervention to an educational activity (for practice staff and clinicians) using a computerized decision support tool for individual patient-level decision-making about OAT in patients with non-valvular AF. The QI tool will incorporate individual patients' risk factor profiles for ischemic stroke and bleeding. We will accomplish this by performing a cluster randomized clinical trial of an educational activity, with and without the addition of the QI intervention.