Identifying the factors influencing practice variation in thrombosis medicine: A qualitative content analysis of published practice-pattern surveys

Skeith, Leslie; Gonsalves, Carol

doi:10.1016/j.thromres.2017.09.026

Cited by 2 publications

(3 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These findings may inform design and implementation of perioperative anticoagulation management pathways, including guidelines and major society recommendations. Variations in practice patterns for anticoagulation management based on different weighing of risks of anticoagulation have been seen in other studies 6 ; for example, one study found that internists and cardiologists tend to prioritize thromboembolic complications of withholding anticoagulation, and proceduralists emphasize bleeding complications of administering anticoagulation. 15 This variation is reflected in different society guideline recommendations.…”

Section: Discussionmentioning

confidence: 92%

“…2,3 Further, the paucity of high-quality evidence to guide perioperative anticoagulation decision-making has led to a lack of clear recommendations from major society guidelines, particularly for intermediaterisk patients, in turn contributing to wide practice variation among thrombosis experts. 4 While previous studies have identified barriers to implement best practices among perioperative medicine physicians, 5,6 there is little known about the barriers to best practices for surgical teams. 7,8 Studies of surgical teams have focused on knowledge of perioperative anticoagulation guidelines and assessment of bleeding risk rather than comprehensively examining barriers and facilitators to evidence-based perioperative anticoagulation management.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Barriers to Implementing Internist Recommendations for Perioperative Anticoagulation Management by Surgical Teams

Flemons

Bosch

Marcil

et al. 2022

Can Journ Gen Int Med

Self Cite

View full text Add to dashboard Cite

Introduction: In our center, half of all recommendations made by an internist about perioperative anticoagulation management are not followed by surgical team members. We aimed to understand the barriers to implementing perioperative anticoagulation recommendations.Methods: This was a prespecified analysis of interviews with surgical team members about individual- and systems-level drivers of missed perioperative anticoagulation recommendations. Interviews and analysis were guided by the Theoretical Domains Framework and the Consolidation Framework for Implementation Research.Results: We interviewed 16 surgical team members and 2 internists. Surgical team members intentionally did not follow recommendations about perioperative anticoagulation management when they felt that the bleeding risk outweighed the risk of thrombosis. This assessment of risk was driven by emotion and previous experience, even among participants who were familiar with perioperative literature.Conclusions: Development of study outcomes and guideline recommendations for perioperative anticoagulation management should include surgical team members in order to address the acceptability of these recom-mendations and increase adoption. RésuméIntroduction : Dans notre centre, la moitié des recommandations formulées par un interniste concernant la prise en charge de l’anticoagulation périopératoire ne sont pas suivies par les membres de l’équipe chirurgicale. Nous avons cherché à comprendre les obstacles à l’application des recommandations relatives à l’antico-agulation périopératoire. Méthodologie : Il s’agit d’une analyse prédéterminée d’entrevues menées auprès des membres de l’équipe chirurgicale au sujet des facteurs individuels et systémiques de l’insuccès des recommandations relatives à l’anticoagulation périopératoire. Les entrevues et l’analyse ont été guidées par le Theoretical Domains Framework et le Consolidation Framework for Implementation Research.Résultats : Nous avons interrogé 16 membres de l’équipe chirurgicale et 2 internistes. Intentionnellement, les membres de l’équipe chirurgicale ne suivent pas les recommandations concernant la prise en charge de l’anti-coagulation périopératoire lorsqu’ils estiment que le risque d’hémorragie l’emporte sur le risque de thrombose. Cette évaluation du risque est dictée par l’émotion et l’expérience antérieure, même parmi les participants qui connaissent bien la documentation du domaine périopératoire.Conclusions : La mise en application des résultats des études et des recommandations formulées par les lignes directrices pour la prise en charge de l’anticoagulation périopératoire devrait comprendre des membres de l’équipe chirurgicale pour aborder l’acceptabilité de ces recommandations et augmenter l’adoption.

show abstract

Section: Discussionmentioning

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Barriers to Implementing Internist Recommendations for Perioperative Anticoagulation Management by Surgical Teams

Flemons

Bosch

Marcil

et al. 2022

Can Journ Gen Int Med

Self Cite

View full text Add to dashboard Cite

show abstract

“…Hence, by taking our research strategy into account, a Qualitative Content Analysis (QCA) is suitable for the purpose of this study. This data analysis technique is common in qualitative research settings and has been used in different disciplines (Graneheim andLundman 2004, Skeith andGonsalves 2017) and there are different definitions of it (Hsieh and Shannon, 2005). For this study, QCA defined as a technique for analyzing qualitative (non-quantified) data through the systematic classification process of coding and identifying themes or patterns to provide interpretation and understanding of the phenomena under study.…”

Section: Data Analysis Technique: Qualitative Content Analysis (Qca)mentioning

confidence: 99%

Political and Economic Institutions and Economic Performance: Evidence from Kosovo

Kryeziu

Taş

2018

South East European Journal of Economics and Business

View full text Add to dashboard Cite

This study examines Kosovo’s attempts to create efficient political and economic institutions while assuming that if these institutions cannot perform well and the market economy will also fail. Thus, the main aim of this paper is to understand the reasons behind institutional and economic failure. A qualitative research approach that we used is based on a longitudinal perspective and a set of secondary data which are analyzed by using Qualitative Content Analysis technique. Our findings suggest that the state-building period which was administrated by the international organizations created problems such as polarizations in views, duality and imbalance in power distribution and illegitimacy of the governing institutions. These problems are more or less reflected in other institutions in the following independence period. Moreover, due to continuing and deepening political fragmentation and tension amongst the local parties, attempts to create well-functioning and supporting institutions have not yet produced fruitful results. With such institutional performance Kosovo has not yet been able to create a functioning market economy and to overcome economic challenges.

show abstract

Identifying the factors influencing practice variation in thrombosis medicine: A qualitative content analysis of published practice-pattern surveys

Cited by 2 publications

References 34 publications

Barriers to Implementing Internist Recommendations for Perioperative Anticoagulation Management by Surgical Teams

Barriers to Implementing Internist Recommendations for Perioperative Anticoagulation Management by Surgical Teams

Political and Economic Institutions and Economic Performance: Evidence from Kosovo

Contact Info

Product

Resources

About