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EP News – QI and Outcomes—Triaging AF Patients for Optimal Care

Journal Articles: Atrial fibrillation (AF) is a major public health concern that affects millions of people worldwide. AF is associated with increasing health care costs and a higher risk of stroke with increasing comorbidities and age. Despite well-written guidelines for AF care, standardized management is lacking. Therein lies an opportunity to create AF centers of excellence (AF CoEs) with a patient-centered integrated focus and approach that can benefit patients and health care providers (physicians, nurse practitioners, physician assistants, nurses, pharmacists and technologists) alike.


Improving Electrophysiology Lab Efficiency: Collaboration With Anesthesiology is Well Worth the Time

Journal Articles: Many of the efforts to improve laboratory efficiency require close collaboration with our colleagues in anesthesia. Osorio et al1 outlined a standardized anesthetic protocol that was designed with the intention of improving effectiveness of lesion formation during AF ablation while also improving efficiency and ensuring patient safety.


Suspected AF Pathway

Care Pathways/CDS: Clinical Pathway for Suspected AF


SOP Procedure in the Event of Suspected Bleeding Complications after Punctures (Femoral Artery, Radial Artery, Brachial Artery, CVC)

Procedure in the Event of Suspected Bleeding Complications after Punctures (Femoral Artery, Radial Artery, Brachial Artery, CVC)


SOP Pericardial Effusion or Tamponade After Atrial Fibrillation Ablation

SOP for Pericardial Effusion or Tamponade after AFib ablation procedure. Includes, steps to take with suspected tamponade, materials, and instructions.


SOP OAC in Atrial Fibrillation With or Without PVI

SOP for oral anticoagulation for AFib patients with or without PVI. Includes flow chart, breakdown of CHADSVASC, dosage chart, and explanation of TEE management before PVI.


SOP Deep Analgesic Sedation in the EPU Laboratory

Education – Clinical: Workflow for deep analgesic sedation in the EPU laboratory. Includes medications, monitoring, and ACT control.


SOP Bradycardia/AV Block During Pulmonary Vein Isolation

Bradycardia/AV Block During Pulmonary Vein Isolation


SOP Acute Therapy Stroke

Best Practices: SOP for acute therapeutic treatment of stroke. Includes decision tree and exclusion criteria for thrombolysis.