Performance Measurement Network

Question: Reason for Not Prescribing Anticoagulation Therapy at Discharge

Discharge summary documents, "She has a long history of atrial fibrillation and at one time had been on chronic coumadin therapy but developed a left sided intracerebral hemorrhage so her warfarin was stopped. She basically is on aspirin at this time." The DC summary goes on to say, "There is a nasty issue of her atrial fibrillation and embolic disease but I do not feel comfortable adding warfarin due to her fresh stroke and history of bleeding. Therefore I will continue her only on aspirin. I will continue her po diltiazem and digoxin for the atrial fibrillation". Would this abstract as a reason for not prescribing anticoagulation therapy at discharge?

Answer:

Select 'Yes' for Reason for Not Prescribing Anticoagulation. Reasons are explicitly described and linked with warfarin / anticoagulation therapy.

Question Details
Focus area(s): Chart Abstracted Measure Specifications – Clinical, Related Manual - Data Quality Manual
Related documents: STK-03,

Copyright © by the contributing authors. All material on this collaboration platform is the property of the contributing authors.
Ideas, requests, problems regarding Performance Measurement Network? Send feedback
This website is using cookies. More info. That's Fine