022 Meds Management: DOAC and Valvular AF
The DOAC and valvular AF search and report are designed to identify patients being prescribed a DOAC who may be unsuitable for this type of anticoagulant.
The DOAC and valvular AF folder forms part of 022 Meds Management
DOACs are only licensed for non-valvular AF and should NOT be used in those with valvular AF; warfarin should be used instead. The search identifies patients with an active course of a DOAC where there is coded evidence of a heart valve defect. There was a National Patient Safety alert which highlighted the risks of this.
This search should always return 0, and action must be taken if a patient is identified.
This folder should only be run using today's date to gather the most up-to-date information, but could theoretically be run retrospectively using a relative run date to see if any patients have been picked up in the past.
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