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Improving documentation of anticoagulation and antiplatelet recommendations after outpatient endoscopy
Clear documentation of instructions for resuming anticoagulant and antiplatelet (AC/AP) medications after gastrointestinal endoscopy is essential for high-quality postprocedure care. Yet, these recommendations are frequently absent, which may impact patient safety. We aimed to improve documentation...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9723851/ https://www.ncbi.nlm.nih.gov/pubmed/36588305 http://dx.doi.org/10.1136/bmjoq-2021-001725 |
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author | O'Connell, Brendon Boyd, Amanda Kothari, Darshan Miller, Neena Cornejo, Jennifer Sullivan, Brian |
author_facet | O'Connell, Brendon Boyd, Amanda Kothari, Darshan Miller, Neena Cornejo, Jennifer Sullivan, Brian |
author_sort | O'Connell, Brendon |
collection | PubMed |
description | Clear documentation of instructions for resuming anticoagulant and antiplatelet (AC/AP) medications after gastrointestinal endoscopy is essential for high-quality postprocedure care. Yet, these recommendations are frequently absent, which may impact patient safety. We aimed to improve documentation of postprocedural AC/AP instructions through targeted interventions during outpatient endoscopy at a Veterans Affairs Medical Center using validated Quality Improvement methodology. We identified patients on AC/AP agents presenting for outpatient oesophagogastroduodenoscopy or colonoscopy and found restart recommendations were documented in only 59.4% of procedures at baseline. After two intervention cycles, which included provider education, nursing prompts and alterations to endoscopic documentation software, postprocedure documentation increased by 26.7%–86.1% when compared with baseline (p<0.001). These interventions, which require low-resource utilisation, could be part of standardised processes readily implemented at other institutions to help potentially reduce postprocedure patient confusion, medication errors and complications. |
format | Online Article Text |
id | pubmed-9723851 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-97238512022-12-07 Improving documentation of anticoagulation and antiplatelet recommendations after outpatient endoscopy O'Connell, Brendon Boyd, Amanda Kothari, Darshan Miller, Neena Cornejo, Jennifer Sullivan, Brian BMJ Open Qual Quality Improvement Report Clear documentation of instructions for resuming anticoagulant and antiplatelet (AC/AP) medications after gastrointestinal endoscopy is essential for high-quality postprocedure care. Yet, these recommendations are frequently absent, which may impact patient safety. We aimed to improve documentation of postprocedural AC/AP instructions through targeted interventions during outpatient endoscopy at a Veterans Affairs Medical Center using validated Quality Improvement methodology. We identified patients on AC/AP agents presenting for outpatient oesophagogastroduodenoscopy or colonoscopy and found restart recommendations were documented in only 59.4% of procedures at baseline. After two intervention cycles, which included provider education, nursing prompts and alterations to endoscopic documentation software, postprocedure documentation increased by 26.7%–86.1% when compared with baseline (p<0.001). These interventions, which require low-resource utilisation, could be part of standardised processes readily implemented at other institutions to help potentially reduce postprocedure patient confusion, medication errors and complications. BMJ Publishing Group 2022-12-05 /pmc/articles/PMC9723851/ /pubmed/36588305 http://dx.doi.org/10.1136/bmjoq-2021-001725 Text en © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) . |
spellingShingle | Quality Improvement Report O'Connell, Brendon Boyd, Amanda Kothari, Darshan Miller, Neena Cornejo, Jennifer Sullivan, Brian Improving documentation of anticoagulation and antiplatelet recommendations after outpatient endoscopy |
title | Improving documentation of anticoagulation and antiplatelet recommendations after outpatient endoscopy |
title_full | Improving documentation of anticoagulation and antiplatelet recommendations after outpatient endoscopy |
title_fullStr | Improving documentation of anticoagulation and antiplatelet recommendations after outpatient endoscopy |
title_full_unstemmed | Improving documentation of anticoagulation and antiplatelet recommendations after outpatient endoscopy |
title_short | Improving documentation of anticoagulation and antiplatelet recommendations after outpatient endoscopy |
title_sort | improving documentation of anticoagulation and antiplatelet recommendations after outpatient endoscopy |
topic | Quality Improvement Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9723851/ https://www.ncbi.nlm.nih.gov/pubmed/36588305 http://dx.doi.org/10.1136/bmjoq-2021-001725 |
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