How reliable is perioperative anticoagulant management? Determining guideline compliance and practice variation by a retrospective patient record review.
Marco J MoeskerJanke F de GrootNikki L DamenMenno V HuismanMartine C de BruijneCordula WagnerPublished in: BMJ open (2019)
Unsatisfying compliance for most PAM steps, reflect suboptimal reliability of PAM. Furthermore, the hospital performance varied. This increases the risk for adverse events, warranting quality improvement. The development of process measures can help but will be complicated by the availability of a strong supporting evidence base and integrated care delivery regarding PAM.