How reliable is perioperative anticoagulant management?

Moesker, M. J., de Groot, J. F., Damen, N. L., Huisman, M. V., de Bruijne, M. C., & Wagner, C. (2019). How reliable is perioperative anticoagulant management? Determining guideline compliance and practice variation by a retrospective patient record review. BMJ Open9(7), e029879. The current article aims at verifying the reliability of perioperative anticoagulant management by defining standard acquiescence and exercise differences by a retroactive patient record assessment (Moesker et al., 2019). The article postulates that surgery requiring anticoagulants calls for careful and vigilant monitoring and risk monitoring to avert any impending harm. The complexity of surgeries requiring anticoagulants is added by deciding whether to use bridging anticoagulation (Moesker et al., 2019). The study used an analysis of 268 patients’ records that underwent surgeries requiring Vitamin K antagonist anticoagulants from 13 Dutch hospitals (Moesker et al., 2019). The process of perioperative anticoagulant management (PAM) requires health professionals to adhere to the set guidelines to prevent thromboembolic and bleeding problems (Moesker et al., 2019). Thus the study scrutinizes the dependability of PAM exercise in Dutch infirmaries. The study’s results postulate unsatisfying compliance for various PAM guidelines; thus, there was suboptimal reliability of PAM in the Dutch hospitals though there was variance in hospital performance (Moesker et al., 2019). The resource is important in making the nurses understand that all the medical guidelines require optimum vigilance and adherence when operating on a patient. Nurses can utilize the information to emphasize to their peers the importance of adhering and being vigilant on every medical guideline to ensure patient protection. 

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