Table 1 Matching barriers to intervention components
Examples of barriers to stroke prevention treatment | Strategies for quality improvement |
|---|---|
Other patient issues may distract from AF management | EMR AF toolbar reminder |
Provider awareness of new guidelines | Educational materials |
Provider attitudes regarding bleeding risk with anticoagulants | Educational materials, risk calculator |
Provider assessment and communication of risk/benefit | EMR risk tool added to each relevant patient chart with summary statements |
Systems to monitor performance against standards and to identify patients without treatment | Audit and feedback with patient-level data |
Systems to monitor patients on treatment | EMR AF treatment flow chart |
Systems to identify patient non-adherence | EMR searches and reminders |