Procedure / Surgery

Cardiac Electrophysiology Preoperative Form/Checklist

Checklists: This Preoperative Checklist can be used by teams for all patients coming to the EP lab. 

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AF Agile Pathway – Emergency Department

AF Agile Pathway – Emergency Department

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EP News – QI and Outcomes – FEB 2021 Cardioversion QI (Johnson)

Journal Articles: This article continues the series of Heart Rhythm Journal quarterly features highlighting  science relevant to quality improvement. The focus of this feature is practice improvement surrounding the use and implementation of cardioversion in the treatment of atrial fibrillation. The featured research investigates different approaches to the timing and performance of cardioversion to improve efficacy, labor,
and cost.

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Stanford Guide to AFib Stroke Prevention: AFib Demos for Clinicians

Shared Decision-Making: Video demonstrations to support in-person conversations between clinicians and their AFib patients. Includes explanation of normal rhythm vs. AFib, stroke risk, blood thinners, and the WATCHMAN device.

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ManageAnticoag App

Tools: ManageAnticoag helps clinicians navigate periprocedural planning and bleed management scenarios for patients on oral anticoagulants (OAC).

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Management of Anticoagulation in the Peri-Procedural Period (MAPPP) App: Overview, Instructions and Case Studies

Meta-Analyses/Systematic Review of Literature: Extensive PowerPoint presentation on the management of anticoagulation in the peri-procedural period. Includes overview, instructions, and case studies.

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Rationale, considerations, and goals for atrial fibrillation centers of excellence: A Heart Rhythm Society perspective

Guidelines/Clinical Documents: This manuscript builds on the work of a diverse, multiple-stakeholder Think Tank meeting and multidisciplinary Inter-pro Forum educational activity held in January 2019, both led by the Heart Rhythm Society (HRS). When examining the current clinical landscape, the Think Tank concluded that there is a clear need for AF CoEs to improve AF care and its delivery. In this manuscript, HRS hopes to accelerate this evolution by reviewing the rationale for AF CoEs, the available evidence for integrated and multidisciplinary care, and future challenges and opportunities. The document also defines the key priorities to be used as a guide for HRS and its diverse stakeholders to build consensus on defining the core components of an AF CoE.

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Early Rhythm-Control Therapy in Patients with Atrial Fibrillation

Journal Articles: In this international, investigator-initiated, parallel-group, open, blinded-outcome assessment trial, we randomly assigned patients who had early atrial fibrillation (diagnosed ≤1 year before enrollment) and cardiovascular conditions to receive either early rhythm control or usual care. Early rhythm control included treatment with antiarrhythmic drugs or atrial fibrillation ablation after randomization. Usual care limited rhythm control to the management of atrial fibrillation–related symptoms. The first primary outcome was a composite of death from cardiovascular causes, stroke, or hospitalization with worsening of heart failure or acute coronary syndrome; the second primary outcome was the number of nights spent in the hospital per year. The primary safety outcome was a composite of death, stroke, or serious adverse events related to rhythm-control therapy. Secondary outcomes, including symptoms and left ventricular function, were also evaluated.

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