Clinicians' views and experiences of prescribing oral anticoagulants for stroke prevention in atrial fibrillation: A qualitative meta-synthesis.
Ruth V PritchettJoanne L ClarkeKate JollyDanielle ClarkesmithDanai BemGrace M TurnerG Neil ThomasDeirdre A LanePublished in: PloS one (2020)
This review highlights focal points for future clinician-focused interventions to improve guideline-adherent OAC prescription in AF patients. Interventions should aim to improve clinicians' knowledge around NOAC prescription and stroke and haemorrhage risk assessment tools as well as their emotional responses to difficult prescribing scenarios. Multidisciplinary interventions promoting cohesive care and input from different clinicians to overcome time-related barriers may increase guideline-adherent OAC prescription for AF patients.
Keyphrases
- atrial fibrillation
- oral anticoagulants
- end stage renal disease
- palliative care
- risk assessment
- primary care
- ejection fraction
- healthcare
- newly diagnosed
- physical activity
- chronic kidney disease
- left atrial
- heart failure
- prognostic factors
- peritoneal dialysis
- direct oral anticoagulants
- left atrial appendage
- coronary artery disease
- quality improvement
- emergency department
- patient reported outcomes
- blood brain barrier
- subarachnoid hemorrhage
- left ventricular
- venous thromboembolism