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Table 2 RE-AIM evaluation of MAQI2 DOAC Dashboard implementation

From: Applying population health approaches to improve safe anticoagulant use in the outpatient setting: the DOAC Dashboard multi-cohort implementation evaluation study protocol

RE-AIM dimension

Outcome measure

How assessed

Data source

Reach

The percent of patients with inappropriate DOAC use where the anticoagulation clinic contacted the prescribing provider or patient

Numerator: number of patients where prescriber or patient was contacted about inappropriate DOAC prescribing

Denominator: total number of patients with DOAC Dashboard alerts for inappropriate medication prescribing

MAQI2 DOAC Database

Effectiveness

Inappropriate DOAC use

Interrupted time series analysis

Numerator: Number of inappropriate DOAC prescriptions

Denominator: Total number of patients on DOAC

MAQI2 DOAC Database

Adoption

Implementation strategies used

Qualitative interviews with anticoagulation clinic managers

Interviews

Implementation

Time between a new DOAC Dashboard flag and a clinical change

Time in days between the occurrence of a new DOAC Dashboard flag and documented change in DOAC medication

MAQI2 DOAC Database

Maintenance

Sustained frequency of Dashboard use

Number of days per month with at least one Dashboard access by any staff member over a 12-month period

EHR report

  1. MAQI2 Michigan Anticoagulation Quality Improvement Initiative, DOAC direct oral anticoagulant, EHR electronic health record