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December 20, 2025Applied Clinical Informatics

Effect of Clinical Decision Support Alerts on Anticoagulation Management in Atrial Fibrillation

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Authors

JCJoseph E. CapitoBDBrian DilcherZJZulkifl Jafary

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Overview

Observational study reveals EHR alerts improve anticoagulation decisions for atrial fibrillation in high-risk patients.

Key Points

  • To assess the effectiveness of EHR-integrated alerts in managing anticoagulation for atrial fibrillation.
  • Single-arm observational study conducted in a rural academic primary care clinic
  • Implemented electronic alerts to calculate and display risk scores
  • Analyzed physician and non-physician provider interactions using chi-square testing
  • 16.9% of patients were newly started on anticoagulation
  • 35.8% had a documented rationale for not initiating therapy
  • 50.5% showed clinically meaningful interaction with the tool
  • Overall alert success rate was 19.8%
  • Alerts prompted engagement, often leading to review rather than treatment change

Cite This Study

Capito et al. (2025) studied this question.

synapsesocial.com/papers/6945e9325151ab1219e4d504https://doi.org/10.1055/a-2765-6969
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