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CLAIMS Rx DIRECTORY


RISK MANAGEMENT PUBLICATION

Reducing Risks Associated with Treating Atrial Fibrillation During Inpatient/Outpatient Transitions

January 2020

This article focuses on negligence allegations associated with treating atrial fibrillation during transitions in and out of the hospital. A common thread among these claims was disagreement about who on the patient healthcare team was responsible for prescribing and managing anticoagulation therapy. Most involved multiple defendants, including cardiologists, emergency department physicians, hospitalists, the patient’s primary care physician, and various staff members in both the hospital and office setting. In many of these claims, multiple members of the patient’s healthcare team were deemed responsible for contributing to the error(s) that caused the injury. This article provides strategies to improve communication and teamwork, with the objective of reducing patient injuries associated with the treatment of atrial fibrillation during transitions in and out of the hospital.

CASE ONE
Managing Warfarin Initially Prescribed at Hospital Discharge

CASE TWO
Restarting Anticoagulant Following Surgery

SPECIAL FEATURE
Assessing the Applicability of Atrial Fibrillation Clinical Guidelines
CASE THREE
Failure to Order Anticoagulation Following an Episode of Atrial Fibrillation

CASE FOUR
Safely Managing Warfarin in Elderly Patients

 

arrhythmia,dysrhythmia, atrial fibrillation, stroke, ischemic stroke,heart arrhythmia,anticoagulation,cardiac dysrhythmia,negligent anticoagulation therapy,atrial fibrillation diagnosis,atrial fibrillation treatment,anticoagulation error,cardioversion,warfarin toxicity,hemorrhage,internal medicine,cardiologist,cardiology,warfarin,anticoagulant,INR,pt/INR,hospitalist,CHADS2,CHA2DS2-VASc,AF,elderly patient,geriatric patient,
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