Abstract Objective Implemented a tool to identify high-risk patients with atrial fibrillation (AF) with a CHA2DS2-VASc score of ≥2 (males) or ≥3 (females) who are not treated with oral anticoagulation. Aimed to evaluate the acceptability and usability of the “AF or Flutter not on Anticoagulant” electronic health record-based Care Gap (AF Care Gap) alert and associated best practice advisory (BPA) for clinicians managing patients with AF. Materials and Methods An electronic survey was sent to 490 primary care and cardiology providers at Essentia Health (Duluth, MN, USA) to evaluate the usability, acceptability, and obtain feedback post-implementation. We excluded providers who did not complete the consent (n = 9), give consent (n = 15), complete the survey (n = 340), or see AF patients (n = 5). Results and Discussion Survey response rate was 25% (N = 121); 51% reported prior use of the AF Care Gap (N = 62) with the majority (73%) in family medicine. Most users and nonusers reported they were “likely/extremely likely” to start a conversation about anticoagulation and use the AF Care Gap or BPA in their future practice (84%). Of those who used it, 75% of providers were “likely/extremely likely” to prescribe anticoagulation. Most users would recommend it to others (67%). On the System Usability Scale, the AF Care Gap scored 72.5/100. The acceptance was 27/35 using a modified Theoretical Framework of Acceptability questionnaire. Conclusion Survey respondents report above average usability and acceptability. Future evaluation of the AF Care Gap tool utilization and persistent gaps in anticoagulation management are still needed to improve management for high-risk AF patients.
Carlson et al. (Fri,) studied this question.
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