Emergency Department

Paroxysmal Atrial Fibrillation/Atrial Flutter with RVR ED Pathway

Care Pathways/CDS: Paroxysmal Atrial Fibrillation/Atrial Flutter with RVR ED Pathway

Read More

COMPASS Physician Education Video for EP Referrals

Education – Clinical: High level, informational video to share with general care physicians and emergency medicine providers that explains the benefits of referring AFib patients to an electrophysiologist.

Read More

Atrial Fibrillation Pathway

Care Pathways/CDS: Care pathway for patient visit related to AFib. Includes an overall AF management pathway, outpatient medication recommendations, and a CHA2DS2-VASc and a HAS-BLED decision support tool.

Read More

ED AF <48h Protocol

Order Sets: ED AF <48h Protocol

Read More

ED AF >48h/Unknown Duration Protocol

Order Sets: ED AF >48h/Unknown Duration Protocol

Read More

Implementation of an Atrial Fibrillation Decision Aid Care Pathway in the Emergency Department Reduces Atrial Fibrillation Hospitalizations

Care Pathways/CDS: Decision aid to guide disposition of AFib patients in the ED, specifically created for use by ED providers.

Read More

Development of a Care Pathway for Atrial Fibrillation Patients in the Emergency Department

Care Pathways/CDS: Atrial fibrillation (AF) is the most common cardiac arrhythmia and its prevalence is continuously increasing in the United States, leading to a progressive rise in the number of disease-related emergency department (ED) visits and hospitalizations. Although optimal long-term outpatient management for AF is well defined, the guidelines for optimal ED management of acute AF episodes is less clear. Studies have demonstrated that discharging patients with AF from the ED after acute stabilization is both safe and cost effective; however, the majority of these patients in the United States and in our institution are admitted to the hospital. To improve care of these patients, we established a multidisciplinary collaboration to develop an evidence-based systematic approach for the treatment and management of AF in the ED, that led to the creation of the University of California—Cardioversion, Anticoagulation, Rate Control, Expedited Follow-up/Education Atrial Fibrillation Pathway. Our pathway focuses on the acute stabilization of AF, adherence to best practices for anticoagulation, and reduction in unnecessary admissions through discharge from the ED with expedited outpatient follow-up whenever safe. A novel aspect of our pathway is that it is primarily driven by the ED physicians, while other published protocols primarily involve consulting cardiologists to guide management in the ED. Our protocol is very pertinent considering the current trend toward increased AF prevalence in the United States, coupled with a need for widespread implementation of strategies aimed at improving management of these patients while safely reducing hospital admissions and the economic burden of AF.

Read More

Emergency Department Management of AF

Care Pathways/CDS: Care pathway and decision support tool for use in the emergency department when patient presents with ECG-confirmed AFib. Includes pathway exclusion criteria and link to full guideline.

Read More

ED-AFib Pathway

Care Pathways/CDS: A Multidisciplinary Approach to Managing Patients with AFib in the Emergency Department

Read More

Patient ED AFib Card: Atrial Fibrillation Transitions of Care Triage Protocol

Care Pathways/CDS: Atrial Fibrillation Transitions of Care Triage Protocol

Read More