Automated Physician Notifications to Improve Guideline-Based Anticoagulation in Atrial Fibrillation

Completed · Not applicable

Conditions studied: Atrial Fibrillation

In brief

The overall goal is to improve outcomes among patients with atrial fibrillation (AF) by preventing stroke. The investigators propose to implement an automated algorithm using electronic medical record (EMR) data to alert physicians in a large primary care practice network at the Massachusetts General Hospital (MGH) of their patients with AF and elevated stroke risk that are not taking an anticoagulant for stroke prevention. The investigators hypothesize that interventions to notify physicians of such individuals may prompt reassessment for the need for anticoagulation, and thereby increase guideline-indicated anticoagulation rates. Additionally, in a survey component, physicians will characterize reasons for not pursuing anticoagulation in AF patients at elevated risk for stroke.

Key facts

Study ID: NCT02950285
Run by: Massachusetts General Hospital
People needed: 2336
Starts: 2017-02-07
Expected to finish: 2017-05-07
Last updated by the study team: 2017-06-14

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

Adult patients 18 and older seen in Massachusetts General Hospital primary care practices in the past 3 years
Diagnosed with atrial fibrillation
Increased risk of stroke (CHA2DS2VASc score ≥ 2)
Not currently taking an anticoagulant

You may not qualify if…

Patients who are subsequently identified as having died prior to or during the course of the study intervention using the Social Security Death Index
Listed in the Massachusetts General Hospital system as having a PCP outside of the network

Where it is running

Massachusetts General Hospital — Boston, Massachusetts, United States

Full record on ClinicalTrials.gov

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