Unnecessary overuse. Study of "inadvisable practices" for patients with atrial fibrillation

Objective: To identify overuse (diagnostic, therapeutic and self-care practices that represent risks that outweigh the potential benefits) in patients with atrial fibrillation. Method: The study was based on qualitative research techniques. Using the "Metaptan" technique, we identified and...

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Autores: Ortiz MM, Llamas P, Sanmartín M, Egido JA, Del Toro J, Egocheaga MI, Estévez MS, Navarro IM, Mira JJ
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2017
País:España
Institución:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
Repositorio:r-FISABIO. Repositorio Institucional de Producción Científica
OAI Identifier:oai:fisabio.fundanetsuite.com:p4525
Acceso en línea:https://fisabio.portalinvestigacion.com/publicaciones/4525
Access Level:acceso abierto
Palabra clave:Atrial fibrillation
Overuse
Quality care
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spelling Unnecessary overuse. Study of "inadvisable practices" for patients with atrial fibrillationOrtiz MMLlamas PSanmartín MEgido JADel Toro JEgocheaga MIEstévez MSNavarro IMMira JJAtrial fibrillationOveruseQuality careObjective: To identify overuse (diagnostic, therapeutic and self-care practices that represent risks that outweigh the potential benefits) in patients with atrial fibrillation. Method: The study was based on qualitative research techniques. Using the "Metaptan" technique, we identified and ordered potentially inappropriate, ineffective and inefficient practices. By means of a consensus conference, we then established a number of "inadvisable practice" measures (relatively common practices that should be eliminated based on the scientific evidence or clinical experience). Professionals from the specialties of cardiology, haematology, neurology, internal medicine, family medicine and nursing participated in the consensus. Results: We developed a catalogue of 19 "inadvisable practices" related to the diagnosis, treatment and care of anticoagulated patients that were inappropriate, had questionable effectiveness or were ineffective, as well as 13 beliefs or behaviours for anticoagulated patients that could result in injury or were useless or inefficient. Conclusion: The "inadvisable practices" approach helps identify practices that represent greater risks than benefits for patients. It seems appropriate to include algorithms in the clinical decision-making support systems that consider this information for the diagnosis, treatment and for home care. For this last case, recommendations have also been prepared that define specific contents for the healthcare education of these patients. (C) 2017 Elsevier Espana, S.L.U. and Sociedad Espanola de Medicina Interna (SEMI). All rights reserved.EDICIONES DOYMA S A2017info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://fisabio.portalinvestigacion.com/publicaciones/4525REVISTA CLINICA ESPANOLAISSN: 00142565ISSNe: 15781860reponame:r-FISABIO. Repositorio Institucional de Producción Científicainstname:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)Españolinfo:eu-repo/semantics/openAccessoai:fisabio.fundanetsuite.com:p45252026-06-11T12:45:17Z
dc.title.none.fl_str_mv Unnecessary overuse. Study of "inadvisable practices" for patients with atrial fibrillation
title Unnecessary overuse. Study of "inadvisable practices" for patients with atrial fibrillation
spellingShingle Unnecessary overuse. Study of "inadvisable practices" for patients with atrial fibrillation
Ortiz MM
Atrial fibrillation
Overuse
Quality care
title_short Unnecessary overuse. Study of "inadvisable practices" for patients with atrial fibrillation
title_full Unnecessary overuse. Study of "inadvisable practices" for patients with atrial fibrillation
title_fullStr Unnecessary overuse. Study of "inadvisable practices" for patients with atrial fibrillation
title_full_unstemmed Unnecessary overuse. Study of "inadvisable practices" for patients with atrial fibrillation
title_sort Unnecessary overuse. Study of "inadvisable practices" for patients with atrial fibrillation
dc.creator.none.fl_str_mv Ortiz MM
Llamas P
Sanmartín M
Egido JA
Del Toro J
Egocheaga MI
Estévez MS
Navarro IM
Mira JJ
author Ortiz MM
author_facet Ortiz MM
Llamas P
Sanmartín M
Egido JA
Del Toro J
Egocheaga MI
Estévez MS
Navarro IM
Mira JJ
author_role author
author2 Llamas P
Sanmartín M
Egido JA
Del Toro J
Egocheaga MI
Estévez MS
Navarro IM
Mira JJ
author2_role author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Atrial fibrillation
Overuse
Quality care
topic Atrial fibrillation
Overuse
Quality care
description Objective: To identify overuse (diagnostic, therapeutic and self-care practices that represent risks that outweigh the potential benefits) in patients with atrial fibrillation. Method: The study was based on qualitative research techniques. Using the "Metaptan" technique, we identified and ordered potentially inappropriate, ineffective and inefficient practices. By means of a consensus conference, we then established a number of "inadvisable practice" measures (relatively common practices that should be eliminated based on the scientific evidence or clinical experience). Professionals from the specialties of cardiology, haematology, neurology, internal medicine, family medicine and nursing participated in the consensus. Results: We developed a catalogue of 19 "inadvisable practices" related to the diagnosis, treatment and care of anticoagulated patients that were inappropriate, had questionable effectiveness or were ineffective, as well as 13 beliefs or behaviours for anticoagulated patients that could result in injury or were useless or inefficient. Conclusion: The "inadvisable practices" approach helps identify practices that represent greater risks than benefits for patients. It seems appropriate to include algorithms in the clinical decision-making support systems that consider this information for the diagnosis, treatment and for home care. For this last case, recommendations have also been prepared that define specific contents for the healthcare education of these patients. (C) 2017 Elsevier Espana, S.L.U. and Sociedad Espanola de Medicina Interna (SEMI). All rights reserved.
publishDate 2017
dc.date.none.fl_str_mv 2017
dc.type.none.fl_str_mv info:eu-repo/semantics/article
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dc.identifier.none.fl_str_mv https://fisabio.portalinvestigacion.com/publicaciones/4525
url https://fisabio.portalinvestigacion.com/publicaciones/4525
dc.language.none.fl_str_mv Español
language_invalid_str_mv Español
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv EDICIONES DOYMA S A
publisher.none.fl_str_mv EDICIONES DOYMA S A
dc.source.none.fl_str_mv REVISTA CLINICA ESPANOLA
ISSN: 00142565
ISSNe: 15781860
reponame:r-FISABIO. Repositorio Institucional de Producción Científica
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