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Timeliness, accuracy needed to optimize periprocedural antithrombotic medication management

16 Apr 2019

A recent survey with patients taking chronic antithrombotic medications has shown that timeliness, accuracy and adaptiveness to prior patient experiences while offering a single, consistently available point of contact are deemed necessary to enhance the communication process in periprocedural antithrombotic medication management.

Of the 81 patients who responded to the survey, 74 (91 percent) said they understood the plan to manage their antithrombotics, while 21 (26 percent) were not completely satisfied with the coordination, communication and management of their medications.

Content analysis revealed five primary themes as patient-centred design features affecting periprocedural care: (1) patients require accurate and timely information; (2) a patient’s prior experience with antithrombotic therapy affects their understanding of the process; (3) patients prefer receiving their information from a single source; (4) patients prefer different methods of instruction; and (5) patients expect their clinician(s) to be available through the periprocedural management process.

In this study, telephone surveys were conducted with patients taking antithrombotic medications who had recently undergone an endoscopy procedure. The survey sought to better understand the periprocedural process for patients taking antithrombotics.

The authors then conducted a content analysis of patients’ unstructured responses from the periprocedural patient phone calls. They used a multistep group coding process to analyse responses. Original quotes were used and thematic segments from the transcripts were retrieved to analyse the relationships between different themes and categories.

“Periprocedural antithrombotic medication management is a complex, often confusing process for patients and their providers. Communication difficulties often lead to suboptimal medication management, resulting in delayed or cancelled procedures,” the authors said.

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Most Read Articles
6 days ago
The aromatase inhibitor anastrozole shows promise in the treatment of children with congenital adrenal hyperplasia, reducing bone age advancement without adversely affecting bone mineral density and visceral adipose tissue, as shown in a recent study.
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13 Jun 2019
Response to desmopressin treatment for nocturnal enuresis in children appears to be compromised in the presence of constipation, particularly in children with severe enuresis and those prescribed low doses, as reported in a recent study.
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