Jacob E Kurlander, Danielle Helminski, Michael Lanham, Jennifer L Henstock, Kelley M Kidwell, Sarah L Krein, Sameer D Saini, Caroline R Richardson, Raymond De Vries, Kenneth Resnicow, Allison Laboon Ruff, David M Wallace, Elizabeth K Jones, Linda K Perry, Jacqueline Parsons, Nghi Ha, Tina Alexandris-Souphis, Dale Dedrick, Elizabeth Aldridge, Geoffrey D Barnes
BACKGROUND: The concomitant use of anticoagulant and antiplatelet medications increases the risk of upper gastrointestinal (GI) bleeding. Two underused evidence-based practices (EBPs) can reduce the risk: de-prescribe unnecessary antiplatelet therapy or initiate a proton pump inhibitor. We describe the development of a multicomponent intervention to increase use of these EBPs in patients treated with warfarin and followed by an anticoagulation monitoring service (AMS), and the design of a pilot pragmatic implementation trial...
January 28, 2022: Implementation science communications